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Michael David Jackson
Adult Psychiatric/Mental Health Registered Nurse in Woodburn, Oregon
NPI 1467922856

Michael David Jackson is an Adult Psychiatric/Mental Health Registered Nurse based in Woodburn, OR and is specialized in Psychiatric/Mental Health, Adult. Michael David Jackson practices in Woodburn, OR. The NPI Number for Michael David Jackson is 1467922856 and holds a License No. 201401353RN (Oregon).

The current practice location address for Michael David Jackson is 1605 E Lincoln Rd, Woodburn, OR and can be reached out via phone at 503-982-9300.

Location: 1605 E Lincoln Rd, Woodburn, OR, 97071-5137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467922856
Provider Name
Michael David Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1605 E Lincoln Rd, Woodburn, OR, 97071-5137
Phone Number
503-982-9300
Fax Number
Provider Enumeration Date
11/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1605 E Lincoln Rd
City
Woodburn
State
Oregon
Zip
97071-5137
Phone Number
503-982-9300
Fax Number
person
Provider Business Mailing Address Details
Address
1605 E Lincoln Rd
City
Woodburn
State
Oregon
Zip
97071-5137
Phone Number
503-982-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
163WP0809X
License No.
201401353RN (Oregon)
Definition
Definition to come...
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