Whalio Doctors

NPI 1295798866

Roberta L Jackson, MD

Practitioner Diagnostic Radiology Physician Medford, OR

Practice location

Address
842 E Main St, Medford, OR 97504-7134
Phone
(541) 773-2493
Fax
(541) 779-3027

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD15832 (OR)

Registry record

NPI
1295798866
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Apr 2006
Record last updated
8 Dec 2014

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.