ANDREA JACKSON LAC NPI 1518000140

NPI Information

NPI: 1518000140
Provider Name: ANDREA JACKSON, LAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
33 NE KELLY AVE
GRESHAM, OR
ZIP 97030
Phone: (503) 545-2393
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Andrea Jackson, LAC is an acupuncturist in Gresham, OR. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Andrea Jackson, LAC NPI is 1518000140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33 NE KELLY AVE
GRESHAM, OR
ZIP 97030-539
Phone: (503) 545-2393

The enumeration date for this NPI number is 2/14/2007 and was last updated on 7/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC01036	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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