Organization · Type 2 NPI

Nisha Jackson PC

Rural Health Clinic/Center · North Bend, OR

NPI number 1629920434 Active

Practice location

1285 Virginia Ave
North Bend, OR 97459-2715

Mailing address

2040 Commerce Dr
Medford, OR 97504-9744

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1629920434

Nisha Jackson PC's National Provider Identifier is 1629920434, issued on Feb 12, 2026. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in North Bend, OR. The record was last updated on Jul 23, 2026.