Jackson, Andrea

Jackson, Andrea is an sole proprietor health care provider with primary practice located at 33 Ne Kelly Ave , Gresham OR 97030-7539. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Jackson, Andrea can be contacted via phone (503) 545-2393.

Contact Information

Primary practice address
33 Ne Kelly Ave Gresham OR 97030-7539
Phone: (503) 545-2393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC01036 Oregon

Profile Details

NPI number 1518000140
LBN Legal business name Jackson, Andrea
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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