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Lashaunda Louise Jackson

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NPI Number Detailed Information

Provider Information:

Name: Lashaunda Louise Jackson
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1326186271
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/2/2007

Last Update Date: 12/14/2009

Provider Business Mailing Address:

Address: 12942 SE MITCHELL ST
Portland, OR 97236
Phone Number: 5037543088
Fax Number:

Provider Business Practice Location Address:

Address: 509 NE ALBERTA ST
Portland, OR 97211
Phone Number: 5032497767
Fax Number:

Provider Taxonomy:

Primary: 320800000X
Secondary (if any): 171M00000X
State: OR

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About Lashaunda Louise Jackson

Lashaunda Louise Jackson ( LASHAUNDA LOUISE JACKSON ) is A Community Based Residential Treatment Facility, Mental Illness Physician in Portland, OR. The NPI Number for Lashaunda Louise Jackson is 1326186271.
The current location address for Lashaunda Louise Jackson is 509 NE ALBERTA ST Portland, OR 97211 and the contact number is 5037543088 and fax number is . The mailing address for Lashaunda Louise Jackson is 12942 SE MITCHELL ST Portland, OR 97236- 5032497767 (mailing address contact number - 5037543088).
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider Business Location on Map

FAQs:

What is the NPI Number for Lashaunda Louise Jackson ?


Answer: The NPI Number for Lashaunda Louise Jackson is 1326186271

Where is Lashaunda Louise Jackson located?


Answer: Lashaunda Louise Jackson is located at 509 NE ALBERTA ST Portland, OR 97211.

What is the specialty for Lashaunda Louise Jackson ?


Answer: The Specialty of Lashaunda Louise Jackson is A Community Based Residential Treatment Facility, Mental Illness Physician.

Are there any online reviews for Lashaunda Louise Jackson ?


Answer: Not yet!

Are there any other health care providers in Portland, OR?


Answer: Yes, there are given below...

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