Tara Jackson, CPO
Tara Jackson, CPO is a Prosthetist in Portland, Maine. Licensed in Maine. Registered with an NPI since 2025.
- Licensed in
- ME
- In the registry since
- 2025
Practice location Address checks out
1274 Congress StPortland, ME 04102-2111
Phone: (207) 774-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence CPO04857 (ME) |
|---|
Record details
| NPI number | 1851255764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPO |
| Sole proprietor | No |
| NPI enumerated | December 15, 2025 |
| Last updated in NPPES | December 15, 2025 |
| Certification date | December 15, 2025 |
| Mailing address | 1274 Congress St, Portland, ME 04102-2111 |