person
Jessica Southavilay Jackson, DC,LMT
Chiropractor in Portland, Oregon
NPI 1053701201

Jessica Southavilay Jackson is a Chiropractor based in Portland, OR. Jessica Southavilay Jackson practices in Portland, OR and has the professional credentials of DC,LMT. The NPI Number for Jessica Southavilay Jackson is 1053701201 and holds a License No. OR12773 (Oregon).

The current practice location address for Jessica Southavilay Jackson is 818 Se Cesar E Chavez Blvd, Portland, OR and can be reached out via phone at 503-473-4680.

Location: 818 Se Cesar E Chavez Blvd, Portland, OR, 97214-4357
person
Provider Profile Details
NPI Number
1053701201
Provider Name
Jessica Southavilay Jackson
Credential
DC,LMT
Provider Entity Type
Individual
Gender
Female
Address
818 Se Cesar E Chavez Blvd, Portland, OR, 97214-4357
Phone Number
503-473-4680
Fax Number
Provider Enumeration Date
01/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
818 Se Cesar E Chavez Blvd
City
State
Zip
97214-4357
Phone Number
503-473-4680
Fax Number
person
Provider Business Mailing Address Details
Address
818 Se Cesar E Chavez Blvd
City
State
Zip
97214-4357
Phone Number
503-473-4680
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
5848 (Oregon)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
OR12773 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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