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DR. ROBERTA L JACKSON M.D.
NPI 1295798866
Radiology - Diagnostic Radiology in Medford, OR

Active since April 06, 2006
842 E MAIN ST, MEDFORD, OR 97504(541) 773-2493(541) 779-3027 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roberta L Jackson M.d. NPPES

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

DR. ROBERTA L JACKSON M.D. (NPI 1295798866) is an individual diagnostic radiology provider in Medford, Oregon, licensed in Oregon (MD15832) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1295798866
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ROBERTA L JACKSONCredential: M.D.
Location Address842 E MAIN STMedford, OR 97504-7134
Mailing Address842 E Main StMedford, OR 97504-7134 · (541) 773-2493 · Fax (541) 779-3027
Phone(541) 773-2493
Fax(541) 779-3027
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateDecember 8, 2014
✔ NPI 1295798866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OR · MD15832
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
842 E MAIN ST, Medford, OR 97504
Open in Google Maps ↗

Other Identifiers 5

Medicaid055814OR
Medicare PIN00WCBCNEOR
Medicare UPINA51808
Medicare PIN300037480OR
Medicare PINR178014OR

Other Providers at the Same Location NPPES 20

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

WESTON JAY CAYWOOD M.D.
Radiology (Diagnostic Radiology)
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-2493
ROBERT JOSEPH TRUJILLO MD
Anesthesiology
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 733-7273
THEODORE JOHN MCGILL MD
Anesthesiology
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-7273
RADIA OREGON RADIOLOGY MEDICAL GROUP LLC
Radiology (Diagnostic Radiology)
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (425) 563-1500
DR. JOHN NATHAN SIMMONS M.D.
Radiology (Diagnostic Radiology)
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-2493
CHAD MICHAEL RINGGER M.D.
Radiology (Diagnostic Radiology)
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-2493
BRYAN BRET CLARK
Anesthesiology
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (801) 870-0588
DR. MARCUS RAMPTON M.D.
Anesthesiology
842 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-7273

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 Roberta Jackson's NPI number?

The NPI number for Roberta Jackson is 1295798866. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Roberta Jackson located?

Roberta Jackson practices at 842 E Main St, Medford, OR 97504. The listed phone number is (541) 773-2493.

What is Roberta Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Roberta Jackson was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.