Nicole Jackson
NPI 1063390870 · Peer Specialist · Portland, OR
Nicole Jackson is a Peer Specialist provider in Portland, OR (NPI 1063390870).
Provider details
- NPI number
- 1063390870
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 25-QMHA-R-6774 (OR)
Specialties & taxonomies
Other Service Providers
Agencies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Nicole Jackson's NPI number?
- Nicole Jackson's National Provider Identifier (NPI) is 1063390870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Jackson's specialty?
- Nicole Jackson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Nicole Jackson located?
- Nicole Jackson's practice location on file with NPPES is 8355 N Interstate Ave, Portland, OR 97217-6716.
- What is Nicole Jackson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Jackson is (503) 568-1408.
- Is Nicole Jackson's NPI active?
- Yes — Nicole Jackson's NPI (1063390870) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.