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

Jan Leslie Jackson, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1831173251

Jan Leslie Jackson, PHYSICALTHERAPIST is a Physical Therapist in Beaverton, Oregon. Licensed in California and Oregon. Registered with an NPI since 2005.

Licensed in
CA, OR
In the registry since
2005
Specialties on file
2

Practice location Address checks out

13470 SW Farmington Rd
Beaverton, OR 97005-2618
Phone: (503) 644-3311
Fax: (503) 627-0112
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2109 (OR)
Physical Therapist Taxonomy 225100000X · Licence 10931 (CA)

Record details

NPI number1831173251
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESNovember 8, 2007

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