MR. Larry Arthur Jackson, M.D.

NPI #1578880548 in Cottage Grove, Oregon

Provider Information

NPI Number: 1578880548
Entity Type: Individual
Name: MR. Larry Arthur Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 29, 2010
Last Updated: Apr 29, 2010

Practice Location

Address: 1445 GATEWAY BLVD
City: Cottage Grove
State: Oregon
ZIP Code: 97424-1224
Phone: (541) 942-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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