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

Andrea Jackson, LAC

Individual provider Acupuncturist · NPI 1518000140

Andrea Jackson, LAC is an Acupuncturist in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

33 NE Kelly Ave
Gresham, OR 97030-7539
Phone: (503) 545-2393
Show map & directions

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

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC01036 (OR)

Record details

NPI number1518000140
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 8, 2011
Mailing address2005 Se 159th Pl, Vancouver, WA 98683-4406

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