Individual provider · Type 1 NPI

Christian Jackson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1215325824 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215325824

Christian Jackson's National Provider Identifier is 1215325824, issued on Jan 5, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 5, 2015.