Individual provider · Type 1 NPI

Tara Jackson, CPO

Prosthetist · Portland, ME

NPI number 1851255764 Active

Practice location

1274 Congress St
Portland, ME 04102-2111

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XCPO04857 (ME)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

4 other providers at this address

About NPI 1851255764

Tara Jackson, CPO's National Provider Identifier is 1851255764, issued on Dec 15, 2025. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Portland, ME. The record was last updated on Dec 15, 2025.