IndividualActive
Leslie Jackson, MD
NPI 1972690774 · Rheumatology Physician · La Grande, OR
Provider details
- NPI number
- 1972690774
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 9300627 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
710 Sunset Dr
La Grande, OR 97850-1200
Phone: (541) 663-3000
Fax: (541) 975-5115
Approximate (ZIP-level) locationGet directions
Mailing address
710 Sunset Dr
La Grande, OR 97850-1200
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.