SearchOregon163W00000X

Jakson Edward

NPI 1861738486 · on the registry since 2012 · sole proprietor

Practice

Address
4585 Sw 185th Ave
Aloha, OR 97078
Phone
(503) 591-9280
Organisation at this address
Sequoia Mental Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
209

Additional practice sites

  • 1603 Capitol Ave Ste 510, Cheyenne, WY

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
251B00000X
Licence states on file
WY, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-12

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