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Search › Oregon › 367A00000X

Kelly Jackson, WHCNP, CNM

NPI 1659083129 · on the registry since 2022 · sole proprietor

Practice

Address
22400 Salamo Rd Ste 201
West Linn, OR 97068
Phone
(503) 723-7234
Fax
(503) 650-4464
Organisation at this address
Md Squared
Oral Solutions Nw
Bd West Linn, Llc
Summit Eyecare, Llc
Brookside Dental-West Linn Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
367A00000X
367A00000X
Also registered as
363LW0102X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-10

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