Individual provider · Type 1 NPI

Jordan Jackson Sr.

Peer Specialist · St. Helens, OR

NPI number 1134945579 Active

Practice location

58147 Columbia River Hwy Ste C
St. Helens, OR 97051-6229

Call (503) 396-5322 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 1134945579

Jordan Jackson Sr.'s National Provider Identifier is 1134945579, issued on Dec 2, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Helens, OR. The record was last updated on Dec 2, 2024.