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

Individual provider Massage Therapist · NPI 1053701201

Jessica Southavilay Jackson, DC, LMT is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

818 SE Cesar E Chavez Blvd
Portland, OR 97214-4357
Phone: (503) 473-4680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5848 (OR)
Massage Therapist Taxonomy 225700000X · Licence OR12773 (OR)

Record details

NPI number1053701201
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC , LMT
Sole proprietorNo
NPI enumeratedJanuary 27, 2015
Last updated in NPPESMarch 6, 2018

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