Jackson, Lashaunda Louise

Jackson, Lashaunda Louise is an sole proprietor health care provider with primary practice located at 509 Ne Alberta St , Portland OR 97211-3976. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Other Service Providers / Case Manager/Care Coordinator. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is her primary health care specialty. Jackson, Lashaunda Louise can be contacted via phone (503) 249-7767.

Contact Information

Primary practice address
509 Ne Alberta St Portland OR 97211-3976
Phone: (503) 249-7767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1326186271
LBN Legal business name Jackson, Lashaunda Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Dec 14th, 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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