NPI 1003968389
Steven Colin Jackson, MD
Practice location
- Address
- 426 SW Stark St 8th Floor, Portland, OR 97204-2347
- Phone
- (503) 988-3674
- Fax
- (503) 988-5779
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1003968389
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jan 2007
- Record last updated
- 14 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.