| Nisha Jackson, Inc | |
|
2590 Woodland Dr Coos Bay OR 97420-2050 | |
| (541) 217-2022 | |
| Not Available |
| Full Name | Nisha Jackson, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2590 Woodland Dr, Coos Bay, Oregon |
| Authorized Official Name and Position | Karissa Stults (VP OF BILLING AND CONTRACTING) |
| Authorized Official Contact | 5419308545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Jackson, Inc 2040 Commerce Dr Medford OR 97504-9744 Ph: () - | Nisha Jackson, Inc 2590 Woodland Dr Coos Bay OR 97420-2050 Ph: (541) 217-2022 |
| NPI Number | 1275485088 |
|---|---|
| Provider Enumeration Date | 02/12/2026 |
| Last Update Date | 02/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275485088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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