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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NISHA JACKSON PC
NPI 1164374989
Clinic/Center - Rural Health in The Dalles, OR

Active since February 12, 2026
1935 E 19TH ST, THE DALLES, OR 97058(541) 223-9018 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nisha Jackson Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHA JACKSON PC (NPI 1164374989) is a healthcare organization registered as a rural health in The Dalles, Oregon and active in the NPI registry since February 2026. The organization lists Karissa Stults, Vp Of Billing And Contracting, as its authorized official.

NPPES Registry Identity

NPI1164374989
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNISHA JACKSON PC
Location Address1935 E 19TH STThe Dalles, OR 97058-3392
Mailing Address2040 Commerce DrMedford, OR 97504-9744 · (541) 930-8545
Phone(541) 223-9018
Organization SubpartNo
Authorized OfficialKarissa StultsVp Of Billing And Contracting · (541) 930-8545
Enumeration DateFebruary 12, 2026
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1164374989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1935 E 19TH ST, The Dalles, OR 97058
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY KEARNS
Case Manager/Care Coordinator
1935 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
TILAIMA JUNE PAULO
Peer Specialist
1935 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-5452
MID-COLUMBIA MEDICAL CENTER
Clinic/Center (Rural Health)
1935 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 506-6520
JUDY RICHARDSON MD
Family Medicine
1935 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-7677
OREGON PIP DENTAL GROUP, PC
Dentist (Pediatric Dentistry)
1935 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 296-8901
JESSICA GAMROTH NP
Nurse Practitioner (Family)
1935 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 223-9018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisha Jackson PC's NPI number?

The NPI number for Nisha Jackson PC is 1164374989. It was assigned to this organization in the NPPES registry on February 12, 2026.

Where is Nisha Jackson PC located?

Nisha Jackson PC is located at 1935 E 19th St, The Dalles, OR 97058. The listed phone number is (541) 223-9018.

What is Nisha Jackson PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Nisha Jackson PC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.