Individual provider · Type 1 NPI

Leslie W. Jackson, MD

Rheumatology Physician · La Grande, OR

NPI number 1972690774 Active

About NPI 1972690774

Leslie W. Jackson, MD's National Provider Identifier is 1972690774, issued on Oct 5, 2006. The primary taxonomy on file is Rheumatology Physician (207RR0500X), and the practice location is in La Grande, OR. The record was last updated on Nov 23, 2021.