NICOLE JACKSON

Peer Specialist

NPI: 1063390870Individual

Specialties, Licenses & Credentials

Community/Behavioral Health Agency

Community/Behavioral Health

Code: 251S00000X

25-QMHA-R-6774(OR)

Peer SpecialistPrimary

Peer Specialist

Code: 175T00000X

105324(OR)

Addiction (Substance Use Disorder) Counselor

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

T-25-5762(OR)

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Contact & Hours

Address: 8355 N INTERSTATE AVE
PORTLAND, OR 97217
Phone: (503) 568-1408

Quick Facts

NPI: 1063390870
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 3
Locations: 1

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