MICHAEL DAVID JACKSON


Address: 1605 E Lincoln Rd, Woodburn, OR 97071-5137
Phone: 5039829300

MICHAEL DAVID JACKSON (NPI# 1467922856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467922856
Entity Type Individual
Full Name MICHAEL DAVID JACKSON
Practice Address 1605 E Lincoln Rd
Woodburn
OR 97071-5137
Practice Telephone 5039829300
Enumeration Date 2018-11-28
Last Update Date 2018-11-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
201401353RN OR Nursing Service Providers

Other Providers MICHAEL JACKSON

NPI Name Taxonomy Address Enumeration
1295345346 Michael Frederick Jackson Massage Therapist 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 2020-08-04
1295372993 Michael Jackson Chiropractor 5216 Cold Springs Way, Eugene, OR 97405-5213 2019-12-02
1801365382 Michael Jackson Durable Medical Equipment & Medical Supplies 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 2018-11-14
1114441375 Michael Frank Jackson Jr. Physical Therapist 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 2017-07-31
1457809931 Michael Jackson Counselor 10001 W. Grand Avenue, Franklin Park, IL 60131 2016-09-14
1639625833 Michael Jackson Counselor 128 Mute Swan Place, Newark, DE 19711 2016-08-28
1467823104 Michael Jackson Occupational Therapy Assistant 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 2015-10-07
1831576651 Michael Howard Jackson Family Medicine 4646 Nw Fielding Road, Topeka, KS 66618 2015-04-30
1063809846 Michael Jackson Social Worker 43518 Champlain Ct, Canton, MI 48188-1711 2015-04-20
1780922872 Michael A Jackson Pharmacist 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 2013-01-23

Office Location

Street Address 1605 E LINCOLN RD
City WOODBURN
State OR
Zip Code 97071-5137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073601647 Telecare Mental Health Services of Oregon, Inc Psychiatric Residential Treatment Facility 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2006-10-10
1528674397 Dylan Jessen Case Manager/Care Coordinator 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2020-09-17
1265063374 Kristy Mae Valencia Spec/Tech, Health Info 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2020-01-28
1720644461 Katrina Reale Rehabilitation Counselor 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2019-05-17
1841854700 Katelyn Prendergast Registered Nurse 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2019-04-26
1881166783 Marisa Bender Counselor 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-12-18
1750853651 Donald Ray Bryson Peer Specialist 1605 E Lincoln Rd, Woodburn, OR 97071 2018-12-18
1821569872 Karen G Hernandez Psychologist 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-12-16
1770063729 Jill M Crittenden Social Worker 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-08-20
1346727005 Charlene Dee Dutton Registered Nurse 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629628839 Carla Frances Halvorson Technician 955 Carol St Apt D, Woodburn, OR 97071 2019-09-19
1851801856 Angela Hill Massage Therapist 564 Ray J Glatt Cirle, Woodburn, OR 97071 2017-10-04
1154713295 Theresa Donavant-butler Massage Therapist 564 Glatt Circle, Woodburn, OR 97071 2015-02-26
1710257878 Darlene Jost-babin Counselor 693 Ray J Glatt Circle, Woodburn, OR 97071 2012-01-06
1932401437 Marcelino Mauro Vera Ramirez Chiropractor 844 Pana Street, Woodburn, OR 97071 2010-12-03
1801110994 Woodburn Cosmetic & Family Dentistry P.C. Dentist 1018 N. Boones Ferry Rd., Woodburn, OR 97071 2010-03-18
1568786911 Woodburn Dental Group, P.C. Dentist 1034 N. Boones Ferry Rd., Woodburn, OR 97071 2010-03-15
1134384985 Roberto Diaz Camarillo Counselor 399 Young Street, Woodburn, OR 97071 2008-07-22
1447431705 Patricia Eddy Physical Therapist 1475 Mt Hood Avenue, Woodburn, OR 97071 2007-11-15
1992926471 Marquis Physical Therapy & Spine Rehab, PC Physical Therapist 2241 Country Club Rd, Woodburn, OR 97071 2007-05-01
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770780983 Dale Hitchcock Registered Nurse 1605 East Lincoln Rd., Woodburn, OR 97071-5534 2007-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831433887 Vicki J Mosby Registered Nurse 1980 Washington St, Eugene, OR 97405-2664 2012-11-15
1851563456 Carole L. Bekkenhuis - Johnson Registered Nurse 2072 Greiner Street, Eugene, OR 97405 2008-03-24
1043419757 Randy Peterson Registered Nurse 627 N Evans St, Mcminnville, OR 97128-3923 2007-07-12
1861578353 Jan Scott Garlock Registered Nurse 3140 Juanipero Way, Suite 102, Medford, OR 97504-8640 2006-10-27
1790872000 Bryan M Hagen Registered Nurse 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 2006-10-06
1750358610 Barbara J. Limandri Registered Nurse 2255 Nw Northrup St, Linfield College School of Nursing, Portland, OR 97210-2918 2006-02-28
1841263043 Patricia Diane Jarrett Registered Nurse 36 Sw Nye St, Newport, OR 97365-3821 2006-02-08
1750990560 Nicole Ray Billman Registered Nurse 2301 Cove Ave, La Grande, OR 97850-3906 2020-07-28
1659918415 Leslie Wright Registered Nurse 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 2019-11-28
1144881475 Kimberly Ann Richards Registered Nurse 4585 Sw 185th Ave, Aloha, OR 97078-1557 2019-06-26
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Competitor

Search similar providers

City WOODBURN
Zip Code 97071

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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