Search › Oregon › 171M00000X
Tyler Jackson
NPI 1538997366 · on the registry since 2024
Practice
- Address
- 121 E Historic Columbia River Hwy
Troutdale, OR 97060 - Phone
- (971) 293-9237
- Organisation at this address
- Youth Unlimited Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon