Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ali Nicole Jackson

Individual provider Ambulatory Care Registered Nurse · NPI 1821953589

Ali Nicole Jackson is an Ambulatory Care Registered Nurse in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

2800 Wembley Park Rd
Lake Oswego, OR 97034-2632
Phone: (503) 745-6568
Fax: (503) 734-6568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 200340761RN (OR)

Record details

NPI number1821953589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address2800 Wembley Park Rd, Lake Oswego, OR 97034-2632