MRS. MELINDA ANN JACKSON NPI 1558330647

NPI Information

  • NPI: 1558330647
  • Provider Name: MRS. MELINDA ANN JACKSON
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • Address: 13007 NE GLISAN ST
    PORTLAND, OR
    ZIP 97230
  • Phone: (503) 215-6556

Map and Directions

Get Directions

NPI Details

MRS. Melinda Ann Jackson is a geriatric medicine internal medicine in Portland, OR. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MRS. Melinda Ann Jackson NPI is 1558330647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13007 NE GLISAN ST
PORTLAND, OR
ZIP 97230-545
Phone: (503) 215-6556
Fax: (503) 215-0685

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineMD12772OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.