Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ALYCIA WAI LIN JACKSON, M.D.
ActiveMRS. ALYCIA WAI LIN JACKSON, M.D. is a Family Medicine healthcare provider located in CLACKAMAS, Oregon. NPI 1568807410 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CLACKAMAS, OR
Registration Details
- NPI Number
- 1568807410
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2013 (13.255151718102 yrs)
- Last Updated
- Feb 8, 2017
- Licenses
-
MD180196 (OR)A133720 (CA)
Practice Information
- Address
-
9290 SE SUNNYBROOK BLVD#120CLACKAMAS, OR, 970156899Browse OR providers · Browse ZIP 97015
- Phone
- 5032152110
- Fax
- 5032152115
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. RAYMOND S LEE | DO | 1578559951 |
| MR. BARRY N. DAVIS | DO | 1356324842 |
| MS. PATRICIA E. GALLEGOS | DO | 1285617779 |
| MR. MOSES J. GALLEGOS | DO | 1184607673 |
| MR. MICHAEL E. WILSON | DO | 1629052238 |
| LARRY L MOFFETT | DO | 1194789453 |
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.