Jackson, Joanne Kelly

Jackson, Joanne Kelly is an sole proprietor health care provider with primary practice located at 205 Se 3Rd Ave , Hillsboro OR 97123-4093. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Joanne Kelly can be contacted via phone (503) 693-3104.

Contact Information

Primary practice address
205 Se 3Rd Ave Hillsboro OR 97123-4093
Phone: (503) 693-3104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1417074675
LBN Legal business name Jackson, Joanne Kelly
Credentials B.A,B.A.,CADC 1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Mar 7th, 2008 - about 17 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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