DR. LESLIE W JACKSON MD NPI 1972690774

NPI Information

  • NPI: 1972690774
  • Provider Name: DR. LESLIE W JACKSON, MD
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 710 SUNSET DR
    LA GRANDE, OR
    ZIP 97850
  • Phone: (541) 663-3000

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NPI Details

DR. Leslie W Jackson, MD is a rheumatology internal medicine in La Grande, OR with 35 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Leslie W Jackson, MD NPI is 1972690774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1991

The provider's business location address is:

710 SUNSET DR
LA GRANDE, OR
ZIP 97850-200
Phone: (541) 663-3000
Fax: (541) 975-5115

The NPI 1972690774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 11/23/2021.

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
1207RR0500XInternal MedicineRheumatology9300627NORTH CAROLINANo
2207RR0500XInternal MedicineRheumatologyM-11620IDAHONo
3207RR0500XInternal MedicineRheumatologyMD156467OREGONYes

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: 11/21/2025

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