Dr. William A Jackson , DC
Chiropractor • Portland, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. William Jackson, DC was a registered Chiropractor practicing in Portland, OR. Throughout an active medical career spanning 13 years, Dr. Jackson provided care at the practice location at 11115 SE STARK ST until profile deactivation on 2019-04-12.
Practice Location & Contact Primary Location
11115 Se Stark St
Portland, OR 972163388
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Portland, OR
Practicing in Portland, OR (1950 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Practice Associates & Co-Workers
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Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
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Record deactivated on April 12, 2019
NPI status registered as active in NPPES database
Registered at 11115 SE STARK ST, PORTLAND, OR 972163388 (Tel: 5032564830)
Registered at 11115 SE STARK ST, PORTLAND, OR 972163388 (Tel: 5032564830)
Recorded as WILLIAM JACKSON, D.C.
Chiropractor (License #27-3561 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11115 Se Stark St
Portland, OR 972163388
Phone: 5032564830
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