OrganizationActive
Nisha Jackson, Inc
NPI 1275485088 · Rural Health Clinic/Center · Coos Bay, OR
Provider details
- NPI number
- 1275485088
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karissa Stults, Vp of Billing and Contracting(541) 930-8545
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2590 Woodland Dr
Coos Bay, OR 97420-2050
Phone: (541) 217-2022
Street-level locationGet directions
Mailing address
2040 Commerce Dr
Medford, OR 97504-9744
Registry dates
- Enumerated
- 2026-02-12
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.