Jackson, Courtney Brooke
Jackson, Courtney Brooke is an sole proprietor health care provider with primary practice located at 501 N Graham St Ste 550 , Portland OR 97227-2010. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Jackson, Courtney Brooke can be contacted via phone (503) 284-5220.Contact Information
Primary practice address
501 N Graham St Ste 550
Portland OR 97227-2010
Phone: (503) 284-5220
Fax: (503) 284-4971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 1631 | Oregon |
Profile Details
| NPI number | 1689824302 |
|---|---|
| LBN Legal business name | Jackson, Courtney Brooke |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2008 |
| Last updated | Feb 9th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689824302 | NPPES |
| Oregon | MEDICAID | 500713028 |
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