Jackson, Larry Arthur

Jackson, Larry Arthur is an individual health care provider with primary practice located at 1445 Gateway Blvd , Cottage Grove OR 97424-1224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Larry Arthur can be contacted via phone (541) 942-7000.

Contact Information

Primary practice address
1445 Gateway Blvd Cottage Grove OR 97424-1224
Phone: (541) 942-7000
Fax: (541) 942-5550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD08513 Oregon

Profile Details

NPI number 1578880548
LBN Legal business name Jackson, Larry Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2010
Last updated Apr 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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