IndividualActive
Jeremy Jackson
NPI 1508049693 · Case Manager/Care Coordinator · Portland, OR
Provider details
- NPI number
- 1508049693
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1500 Ne Irving St
Suite 250
Portland, OR 97232-2243
Phone: (503) 233-4356
Approximate (ZIP-level) locationGet directions
Mailing address
1808 G St
Vancouver, WA 98663-3347
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.