Jakson Nicholas Edward

Individual provider Case Management Agency · NPI 1861738486

Jakson Nicholas Edward is a Case Management Agency in Aloha, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon and Wyoming.

Licensed in: OR, WY
In the registry since: 2012
Specialties on file: 2

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Practice location Address checks out

4585 SW 185th Ave
Aloha, OR 97078-1557
Phone: (503) 591-9280

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

Additional practice locations (1)

1603 Capitol Ave Ste 510, Cheyenne, WY 82001-4563 — (307) 635-2888

Specialties & licences

Registered Nurse (primary)	Taxonomy 163W00000X · Licence 202106698RN (OR)
Case Management Agency	Taxonomy 251B00000X · Licence 132080700 (WY)

Record details

NPI number	1861738486
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	December 31, 2012
Last updated in NPPES	July 12, 2021
Certification date	July 12, 2021
Mailing address	1865 Rainbow Rd Apt 106, Cheyenne, WY 82001-6583