ALYCIA WAI LIN JACKSON

CLACKAMAS, OR
NPI1568807410
Former NameALYCIA WAI LIN YEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD180196)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CA  A133720)
Enumeration Date2013-05-06
Last Update Date2017-02-08
Business Address
Mrs. ALYCIA WAI LIN JACKSON M.D.
9290 SE SUNNYBROOK BLVD #120
CLACKAMAS, OR 97015-6899
Phone number: 503-215-2110
Mailing Address
Mrs. ALYCIA WAI LIN JACKSON M.D.
9290 SE SUNNYBROOK BLVD #120
CLACKAMAS, OR 97015-6899
Phone number: 503-215-2110