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1366538217
JOHN W JACKSON
MEDFORD, OR
NPI
1366538217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD13335)
Enumeration Date
2006-10-05
Last Update Date
2010-01-14
Business Address
-- JOHN W JACKSON MD
1698 E MCANDREWS RD SUITE 400
MEDFORD, OR 97504-5589
Phone number: 541-732-6000
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Mailing Address
-- JOHN W JACKSON MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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