Jackson, Kimberley Jennifer

Jackson, Kimberley Jennifer is an individual health care provider with primary practice located at 3180 Center St Ne , Salem OR 97301-4532. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Jackson, Kimberley Jennifer can be contacted via phone (503) 588-5351.

Contact Information

Primary practice address
3180 Center St Ne Salem OR 97301-4532
Phone: (503) 588-5351
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1275677148
LBN Legal business name Jackson, Kimberley Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 20th, 2009 - about 15 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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