Individual provider · Type 1 NPI

Bret D. Jackson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1780379909 Active

Practice location

905 SE 14th Ave
Portland, OR 97214-2569

Call (503) 622-8964 Map

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 1780379909

Bret D. Jackson's National Provider Identifier is 1780379909, issued on Apr 5, 2023. 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 Jul 15, 2025.