MR. LARRY ARTHUR JACKSON M.D.
NPI 1578880548
Family Medicine in Cottage Grove, OR

Active since April 29, 2010
1445 GATEWAY BLVD, COTTAGE GROVE, OR 97424(541) 942-7000(541) 942-5550 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Larry Arthur Jackson M.d. NPPES

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

MR. LARRY ARTHUR JACKSON M.D. (NPI 1578880548) is an individual family medicine provider in Cottage Grove, Oregon, licensed in Oregon (MD08513) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1578880548
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. LARRY ARTHUR JACKSONCredential: M.D.
Location Address1445 GATEWAY BLVDCottage Grove, OR 97424-1224
Mailing AddressPo Box 607Cottage Grove, OR 97424-0026 · (541) 942-7000 · Fax (541) 942-5550
Fax(541) 942-5550
Sole ProprietorNo
Enumeration DateApril 29, 2010
NPI 1578880548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD08513
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1445 GATEWAY BLVD, Cottage Grove, OR 97424

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Physical Medicine & Rehabilitation
1445 GATEWAY BLVD, SUITE D
COTTAGE GROVE, OR 97424
Internal Medicine
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Family Medicine
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Nurse Practitioner (Family)
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Clinic/Center (Rural Health)
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424
Social Worker (Clinical)
1445 GATEWAY BLVD, SUITE A
COTTAGE GROVE, OR 97424
Clinic/Center (Physical Therapy)
1445 GATEWAY BLVD
COTTAGE GROVE, OR 97424

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 Larry Jackson's NPI number?

The NPI number for Larry Jackson is 1578880548. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Larry Jackson located?

Larry Jackson practices at 1445 Gateway Blvd, Cottage Grove, OR 97424. The listed phone number is (541) 942-7000.

What is Larry Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Jackson was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.