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Contact Information

LAUREN JACKSON, PA-C
2830 CRESCENT AVE
EUGENE, OR97408-7397
 Phone: 541-686-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAUREN JACKSON · (Female)

NPI # 1912396086
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/13/2015
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 2490
  • OK Medicaid 200572730A
Hospital affiliation(s)
  • BAY AREA HOSPITAL - (Acute Care)
    1775 THOMPSON ROAD
    COOS BAY, OR 97420
  • MCKENZIE-WILLAMETTE MEDICAL CENTER - (Acute Care)
    1460 G STREET
    SPRINGFIELD, OR 97477
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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