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

Talia Jackson

Individual provider Mental Health Counselor · NPI 1366859720

Talia Jackson is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
Specialties on file
2

Practice location Address checks out

555 SE Mlk Blvd Unit 105
Portland, OR 97214-2595
Phone: (503) 427-8977
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8314 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1366859720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2014
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

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