Michael Jackson

NPI 1467922856 · on the registry since 2018

Practice

Address: 1605 E Lincoln Rd
Woodburn, OR 97071
Phone: (503) 982-9300
Organisation at this address: Telecare Recovery Services
Telecare Mental Health Services Of Oregon, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 37

Registry record

Primary taxonomy: 163WP0808X
163WP0808X
Also registered as: 163WP0809X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-01-08

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