Search › Oregon › 175T00000X
Nicole Jackson
NPI 1063390870 · on the registry since 2025
Practice
- Address
- 8355 N Interstate Ave
Portland, OR 97217 - Phone
- (503) 568-1408
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 251S00000X
101YA0400X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon