person
Robert Jackson
Peer Specialist in Eugene, Oregon
NPI 1538864038

Robert Jackson is a Peer Specialist based in Siletz, OR. Robert Jackson practices in Eugene, OR. The NPI Number for Robert Jackson is 1538864038 and holds a License No. (Oregon).

The current practice location address for Robert Jackson is 2525 Portland St, Eugene, OR and can be reached out via phone at 541-515-6321 and via fax at 541-515-6195.

Location: 2525 Portland St, Eugene, OR, 97380-0320
person
Provider Profile Details
NPI Number
1538864038
Provider Name
Robert Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2525 Portland St, Eugene, OR, 97380-0320
Phone Number
541-515-6321
Fax Number
541-515-6195
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2525 Portland St
City
State
Zip
97405-3153
Phone Number
541-515-6321
Fax Number
541-515-6195
person
Provider Business Mailing Address Details
Address
2525 Portland St
City
State
Zip
97405-3153
Phone Number
541-515-6321
Fax Number
541-515-6195
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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