Whalio Doctors

NPI 1003968389

Steven Colin Jackson, MD

Practitioner Family Medicine Physician Portland, OR

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
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD13965 (OR)

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.