OrganizationActive
Larry A. Jackson, MD PC
NPI 1134565849 · General Practice Physician · Springfield, OR
Provider details
- NPI number
- 1134565849
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Jackson, President(541) 726-0550
- License
- 08513 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1717 Centennial Blvd
Suite 7
Springfield, OR 97477-3378
Phone: (541) 726-0550
Fax: (541) 726-7485
Street-level locationGet directions
Mailing address
1717 Centennial Blvd
Springfield, OR 97477-3378
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2013-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.