Kathleen Anne Jackson in Springfield - Internal Medicine

Kathleen Anne Jackson - NPI 1548236029

Kathleen Anne Jackson is a Internal Medicine in Springfield, Oregon. Kathleen Anne Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kathleen Anne Jackson is 1548236029. The last update date is 2016-12-21.

Kathleen Anne Jackson's current location address is 147 S 52nd Pl, Springfield, Oregon. You can contact this provider via phone number 5417461166 and fax number 5417466736. The mailing address for Kathleen Anne Jackson is 147 S 52nd Pl, Springfield, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Anne Jackson
Address 147 S 52nd Pl, Springfield, Oregon
Phone Number 5417461166
Fax Number 5417466736
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1548236029
Provider Enumeration Date 2006-02-24
Last Updated Date 2016-12-21

Provider Mailing Address Detail

Address 147 S 52nd Pl
City Springfield
State Oregon (OR)
Post Code 974786210
Phone Number 5417461166
Fax Number 5417466736

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD17495
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33147 OR --

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FAQs about Kathleen Anne Jackson

What is the unique 10-digit identifier code assigned to Kathleen Anne Jackson by the Centers for Medicare & Medicaid Services?

The Kathleen Anne Jackson has been issued the NPI (National Provider Identifier) 1548236029 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kathleen Anne Jackson is physically located?

The Kathleen Anne Jackson is physically situated at the following address: 147 S 52Nd Pl, Springfield, OR, 974786210.

What is the area of specialization for Kathleen Anne Jackson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kathleen Anne Jackson is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date was the 1548236029 assigned to Kathleen Anne Jackson?

The Kathleen Anne Jackson was issued its 1548236029 on 2006-02-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kathleen Anne Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kathleen Anne Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-21.

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