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Desire Jackson
NPI 1285010538 · on the registry since 2015 · sole proprietor
Practice
- Address
- 8975 Sw Sweek Dr Apt 222
Tualatin, OR 97062 - Phone
- (503) 544-2020
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-09
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