Jackson, Serena Leigh

Jackson, Serena Leigh is an individual health care provider with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Serena Leigh can be contacted via phone (541) 758-5900.

Contact Information

Primary practice address
4455 Ne Highway 20 Corvallis OR 97330-9695
Phone: (541) 758-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871295816
LBN Legal business name Jackson, Serena Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2023
Last updated Mar 21st, 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.

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