Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LESLIE W JACKSON, MD

Active

DR. LESLIE W JACKSON, MD is a Rheumatology healthcare provider located in LA GRANDE, Oregon. NPI 1972690774 is currently active in the NPPES registry. Verify at CMS.

Rheumatology · LA GRANDE, OR

Registration Details

NPI Number: 1972690774
Provider Type: Individual
Gender: Female
NPI Issued: Oct 5, 2006 (19.874515942068 yrs)
Last Updated: Nov 23, 2021
Licenses: 9300627 (NC)

M-11620 (ID)

MD156467 (OR)

Practice Information

Address: 710 SUNSET DR

LA GRANDE, OR, 978501200
Browse OR providers · Browse ZIP 97850
Phone: 5416633000
Fax: 5419755115
Primary Specialty: Rheumatology
207RR0500X
Additional Specialty: Rheumatology
Additional Specialty: Rheumatology

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.