Individual provider · Type 1 NPI

Kelly Elizabeth Jackson, PT, DPT

Orthopedic Physical Therapist · Clackamas, OR

NPI number 1053830968 Active

Practice location

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (503) 813-2000 Map

Mailing address

5403 N Harvard St
Portland, OR 97203-5208

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X62508 (OR)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1053830968

Kelly Elizabeth Jackson, PT, DPT's National Provider Identifier is 1053830968, issued on Sep 12, 2017. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Clackamas, OR. The record was last updated on Mar 5, 2025.