Jackson, Melanie A

Jackson, Melanie A is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Ste 110 , Corvallis OR 97330-3756. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jackson, Melanie A can be contacted via phone (541) 768-7900.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Ste 110 Corvallis OR 97330-3756
Phone: (541) 768-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD193502 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD193502 Oregon

Profile Details

NPI number 1659711463
LBN Legal business name Jackson, Melanie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Jan 3rd, 2023 - about 2 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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