Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLE THOMAS JACKSON JR., M.D.
ActiveLYLE THOMAS JACKSON JR., M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in EUGENE, Oregon. NPI 1144540790 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · EUGENE, OR
Registration Details
- NPI Number
- 1144540790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2010 (16.232648078288 yrs)
- Last Updated
- Dec 27, 2022
- Licenses
-
16057 (NV)MD176209 (OR)32738 (SC)16057 (NV)
Practice Information
- Address
-
55 COBURG RDEUGENE, OR, 974012433Browse OR providers · Browse ZIP 97401
- Phone
- 5414858111
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery
Other Sports Medicine (Orthopaedic) Providers in EUGENE, OR
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER CYCHOSZ | MD | 1801322953 |
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.