Jessica Rose Jackson, DMD Valid NPI
Individual provider · Dentist · Eugene, OR
- NPI
- 1861519035
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D7772 (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-03-23
- Last updated
- 2007-07-08
Practice location
911 Country Club Rd, Suite 222
Eugene, OR 97401-6044
(541) 342-2477