Shanean L Jackson
Shanean L Jackson is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5331 S Macadam Ave Ste 287Portland, OR 97239-3849
Phone: (503) 635-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1427894203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 2, 2024 |
| Last updated in NPPES | July 2, 2024 |
| Certification date | July 2, 2024 |
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