Jackson, Melinda Ann
Jackson, Melinda Ann is an individual health care provider with primary practice located at 13007 Ne Glisan St , Portland OR 97230-2545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Jackson, Melinda Ann can be contacted via phone (503) 215-6556.Contact Information
Primary practice address
13007 Ne Glisan St
Portland OR 97230-2545
Phone: (503) 215-6556
Fax: (503) 215-0685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD12772 | Oregon |
Profile Details
| NPI number | 1558330647 |
|---|---|
| LBN Legal business name | Jackson, Melinda Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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