Graduated: 2023
NPI: 1417731605
Practice Locations (3)
NISHA JACKSON INC
2088 NE KIM LN
BEND, OR 977016588
5413090031
UPTOWN PROVIDERS PC
397 WARNER MILNE RD
OREGON CITY, OR 970454045
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
Source: CMS National Downloadable File, September 2026.