MR. LARRY ARTHUR JACKSON M.D. NPI 1578880548

NPI Information

NPI: 1578880548
Provider Name: MR. LARRY ARTHUR JACKSON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1445 GATEWAY BLVD
COTTAGE GROVE, OR
ZIP 97424
Phone: (541) 942-7000
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MR. Larry Arthur Jackson, M.D. is a family medicine in Cottage Grove, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Larry Arthur Jackson, M.D. NPI is 1578880548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1445 GATEWAY BLVD
COTTAGE GROVE, OR
ZIP 97424-224
Phone: (541) 942-7000
Fax: (541) 942-5550

The enumeration date for this NPI number is 4/29/2010 and was last updated on 4/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD08513	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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