LARRY A. JACKSON, MD PC – General Practice Physician, NPI 1134565849

LARRY A. JACKSON, MD PC is a healthcare provider. based in Springfield, Oregon. specializing in General Practice Physician. The organization holds a License No. 08513 (OR). The NPI Number for LARRY A. JACKSON, MD PC is 1134565849

Main info

Organization
Name
LARRY A. JACKSON, MD PC
NPI
1134565849
Phone
(541) 726-0550
Address
1717 CENTENNIAL BLVD
Authorized Official
DR. LARRY ARTHUR JACKSON PRESIDENT MD
Enumeration Date
21 May 2013
Last Update Date
21 May 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for LARRY A. JACKSON, MD PC

  • 1717 CENTENNIAL BLVD

    SUITE 7

    SPRINGFIELD, OR 974773378

    Phone: (541) 726-0550

    Fax: (541) 726-7485

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97477)

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Frequently asked questions

How do I look up LARRY A. JACKSON, MD PC by NPI?
Use NPI 1134565849 when you need to reference LARRY A. JACKSON, MD PC in forms, claims, or directories.
Is LARRY A. JACKSON, MD PC active in the national directory?
LARRY A. JACKSON, MD PC's public NPI profile is in an active state.
What kind of provider is LARRY A. JACKSON, MD PC?
The page reflects General Practice Physician for LARRY A. JACKSON, MD PC. Clinical services aligned with this taxonomy classification.
Where is LARRY A. JACKSON, MD PC's primary listing?
We display Springfield, Oregon because that is what the record indicates for LARRY A. JACKSON, MD PC.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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