Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CODY BOYER JACKSON, MD, PHD
ActiveDR. CODY BOYER JACKSON, MD, PHD is a General Practice healthcare provider located in PORTLAND, Oregon. NPI 1255033304 is currently active in the NPPES registry. Verify at CMS.
General Practice · PORTLAND, OR
Registration Details
- NPI Number
- 1255033304
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2023 (3.3754018511662 yrs)
- Last Updated
- Apr 11, 2025
- License
-
MD223559 (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 972393098Browse OR providers · Browse ZIP 97239
- Phone
- 5034948211
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DARREN B LYLE | MD | 1427019058 |
| DR. LAURA MELLICK | MD | 1851354872 |
| DR. NGOCCAM THI TRUONG | M.D. | 1497786164 |
| JOHN ROGER REICHLE | MD | 1447354436 |
| DR. KAREN SUE MARKS | MD | 1639221864 |
| DR. RAISA PREMYSLER | MD | 1407908650 |
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.