Individual provider · Type 1 NPI
Jessica Southavilay Jackson, DC, LMT
Chiropractor · Portland, OR
NPI number
1053701201
Active
Practice location
818 SE Cesar E Chavez Blvd
Portland, OR 97214-4357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | OR12773 (OR) |
| Chiropractor Primary | 111N00000X | 5848 (OR) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
Other chiropractor providers in Portland
- Dorian D. QuinnChiropractor Portland, OR NPI 1003056953
- Daniel Antonio Lujan, DCChiropractor Portland, OR NPI 1003132408
- Spencer ToroChiropractor Portland, OR NPI 1003779224
- Marelle O'Meara, DCChiropractor Portland, OR NPI 1003947797
- Ravid M. Raphael, DCChiropractor Portland, OR NPI 1013032622
- Michelle D. Remien, D.C. L.AC.Chiropractor Portland, OR NPI 1013138668
- Lance Richard Vanderloo, DCChiropractor Portland, OR NPI 1013212489
- Kelley Marie Henry, DC, PhD, LMT, HFSChiropractor Portland, OR NPI 1013257682
About NPI 1053701201
Jessica Southavilay Jackson, DC, LMT's National Provider Identifier is 1053701201, issued on Jan 27, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Mar 6, 2018.