Robert Jackson
Robert Jackson is a Peer Specialist in Eugene, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
2525 Portland StEugene, OR 97405-3153
Phone: (541) 515-6321
Fax: (541) 515-6195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OR) |
|---|
Record details
| NPI number | 1538864038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2023 |
| Last updated in NPPES | October 5, 2023 |
| Certification date | October 5, 2023 |
| Mailing address | Po Box 320, Siletz, OR 97380-0320 |
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