Lashaunda Louise Jackson
Lashaunda Louise Jackson is a Mental Illness Community Based Residential Treatment Facility in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
509 NE Alberta StPortland, OR 97211-3976
Phone: (503) 249-7767
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1326186271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 2, 2007 |
| Last updated in NPPES | December 14, 2009 |
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