Jackson Mortenson
Jackson Mortenson is a Student in an Organized Health Care Education/Training Program in Orem, Utah. Licensed in Utah. Registered with an NPI since 2026.
- Licensed in
- UT
- In the registry since
- 2026
Practice location Address checks out
951 S Geneva RdOrem, UT 84058-5857
Phone: (801) 863-7982
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (UT) |
|---|
Record details
| NPI number | 1649125360 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 27, 2026 |
| Last updated in NPPES | February 27, 2026 |
| Certification date | February 27, 2026 |
| Mailing address | 951 S Geneva Rd, Orem, UT 84058-5857 |
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Archel Villa Oren, PA-S
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