IndividualActive
Stuart Jackson, LCSW
NPI 1013939453 · Clinical Social Worker · Portland, OR
Stuart Jackson, LCSW is a Clinical Social Worker provider in Portland, OR (NPI 1013939453).
Provider details
- NPI number
- 1013939453
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- L3769 (OR)
Practice location
5331 Sw Macadam Ave
Suite 363
Portland, OR 97239-6104
Phone: (503) 803-1250
Street-level locationGet directions
Mailing address
5331 Sw Macadam Ave
Portland, OR 97239-6104
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.