What is Larry Jackson's NPI number?

Larry Jackson's National Provider Identifier (NPI) is 1578880548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Jackson's specialty?

Larry Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Larry Jackson located?

Larry Jackson's practice location on file with NPPES is 1445 Gateway Blvd, Cottage Grove, OR 97424-1224.

What is Larry Jackson's phone number?

The practice phone number listed in the NPPES registry for Larry Jackson is (541) 942-7000.

Is Larry Jackson's NPI active?

Yes — Larry Jackson's NPI (1578880548) is active in the NPPES registry as of the last update on 2010-04-29.

IndividualActive

Larry Jackson, M.D.

NPI 1578880548 · Family Medicine Physician · Cottage Grove, OR

Larry Jackson, M.D. is a Family Medicine Physician provider in Cottage Grove, OR (NPI 1578880548).

Provider details

NPI number: 1578880548
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: MD08513 (OR)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense MD08513 (OR)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 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

1445 Gateway Blvd

Cottage Grove, OR 97424-1224

Phone: (541) 942-7000

Fax: (541) 942-5550

Street-level locationGet directions

More OR providers

Mailing address

Po Box 607

Cottage Grove, OR 97424-0026

Enumerated: 2010-04-29
Last updated: 2010-04-29

Frequently asked questions

What is Larry Jackson's NPI number?: Larry Jackson's National Provider Identifier (NPI) is 1578880548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Larry Jackson's specialty?: Larry Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Larry Jackson located?: Larry Jackson's practice location on file with NPPES is 1445 Gateway Blvd, Cottage Grove, OR 97424-1224.
What is Larry Jackson's phone number?: The practice phone number listed in the NPPES registry for Larry Jackson is (541) 942-7000.
Is Larry Jackson's NPI active?: Yes — Larry Jackson's NPI (1578880548) is active in the NPPES registry as of the last update on 2010-04-29.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.