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

Judy Jackson

Individual provider Licensed Practical Nurse · NPI 1407569718

Judy Jackson is a Licensed Practical Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

745 NE 122nd Ave
Portland, OR 97230-2001
Phone: (503) 252-0241
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 201408689LPN (OR)

Record details

NPI number1407569718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023
Mailing address745 Ne 122nd Ave, Portland, OR 97230-2001

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