Individual provider · Type 1 NPI

Ali Nicole Jackson

Ambulatory Care Registered Nurse · Lake Oswego, OR

NPI number 1821953589 Active

Practice location

2800 Wembley Park Rd
Lake Oswego, OR 97034-2632

Call (503) 745-6568 Map

Fax (503) 734-6568

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X200340761RN (OR)

Ambulatory Care Registered Nurse: Definition to come...

About NPI 1821953589

Ali Nicole Jackson's National Provider Identifier is 1821953589, issued on Dec 16, 2025. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Lake Oswego, OR. The record was last updated on Dec 16, 2025.