Individual provider · Type 1 NPI

Michael David Jackson

Psychiatric/Mental Health Registered Nurse · Woodburn, OR

NPI number 1467922856 Active

Practice location

1605 E Lincoln Rd
Woodburn, OR 97071-5137

Mailing address

2045 Silverton Rd NE
Salem, OR 97301-0100

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X201401353RN (OR)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X201401353RN (OR)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1467922856

Michael David Jackson's National Provider Identifier is 1467922856, issued on Nov 28, 2018. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Woodburn, OR. The record was last updated on Jan 8, 2025.