Individual provider · Type 1 NPI

Orenthal James Jackson Jr.

Peer Specialist · Vancouver, WA

NPI number 1104787498 Active

Practice location

9300 NE Oak View Dr
Vancouver, WA 98662-6157

Call (360) 567-2211 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104787498

Orenthal James Jackson Jr.'s National Provider Identifier is 1104787498, issued on Nov 18, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 18, 2025.