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

Elijah Matthew Jackson

Individual provider Counselor · NPI 1912526336

Elijah Matthew Jackson is a Counselor in Corvallis, Oregon. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone: (541) 757-1852
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1912526336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020
Mailing address3415 Se Powell Blvd, Portland, OR 97202-3371

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