HomeNPI Verification

NPI Verification

National Provider Identifier: 1659711463

Melanie a Jackson, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

3615 NW SAMARITAN DR STE 110

CORVALLIS, OR 973303756

Phone: 541-768-7900

NPI Enumeration Date

June 26, 2013

NPI Number

1659711463

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry