Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON DUANE LAW, DPM
Active Sole ProprietorJACKSON DUANE LAW, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in ENTERPRISE, Oregon. NPI 1114507795 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · ENTERPRISE, OR
Registration Details
- NPI Number
- 1114507795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2021 (5.3817684797084 yrs)
- Last Updated
- Nov 5, 2024
- License
-
221041 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 MEDICAL PKWYENTERPRISE, OR, 978285124Browse OR providers · Browse ZIP 97828
- Phone
- 5414263111
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.