| Nisha Jackson PC | |
|
1935 E 19th St The Dalles OR 97058-3392 | |
| (541) 223-9018 | |
| Not Available |
| Full Name | Nisha Jackson PC |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1935 E 19th St, The Dalles, 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 PC 2040 Commerce Dr Medford OR 97504-9744 Ph: (541) 930-8545 | Nisha Jackson PC 1935 E 19th St The Dalles OR 97058-3392 Ph: (541) 223-9018 |
| NPI Number | 1164374989 |
|---|---|
| Provider Enumeration Date | 02/12/2026 |
| Last Update Date | 07/23/2026 |
| Certification Date | 07/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164374989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-1111 Fax: 541-296-7619 |
Providence Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E 19th St, Suite 1, The Dalles, OR 97058 Phone: 541-298-5563 |
One Community Health- the Dalles Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Webber St, The Dalles, OR 97058 Phone: 541-296-4610 |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 E 12th St, The Dalles, OR 97058 Phone: 541-296-9151 Fax: 541-296-9156 |
Mid-columbia Health Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 E. 19th St. #225, The Dalles, OR 97058 Phone: 541-296-6101 Fax: 541-296-0025 |