Jackson, Leslie W

Jackson, Leslie W is an individual health care provider with primary practice located at 710 Sunset Dr , La Grande OR 97850-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Jackson, Leslie W can be contacted via phone (541) 663-3000.

Contact Information

Primary practice address
710 Sunset Dr La Grande OR 97850-1200
Phone: (541) 663-3000
Fax: (541) 975-5115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 9300627 North Carolina
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X M-11620 Idaho
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD156467 Oregon

Profile Details

NPI number 1972690774
LBN Legal business name Jackson, Leslie W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 23rd, 2021 - about 4 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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