Jackson, Michael David

Jackson, Michael David is an individual health care provider with primary practice located at 1605 E Lincoln Rd , Woodburn OR 97071-5137. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Jackson, Michael David can be contacted via phone (503) 982-9300.

Contact Information

Primary practice address
1605 E Lincoln Rd Woodburn OR 97071-5137
Phone: (503) 982-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 201401353RN Oregon

Profile Details

NPI number 1467922856
LBN Legal business name Jackson, Michael David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2018
Last updated Nov 28th, 2018 - about 6 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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