Lydia Gail Jackson, BS, MS

NPI #1154913937 in Keizer, Oregon

Provider Information

NPI Number: 1154913937
Entity Type: Individual
Name: Lydia Gail Jackson, BS, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Credential: BS, MS
Enumeration Date: Feb 3, 2021
Last Updated: Feb 3, 2021

Practice Location

Address: 3410 CHERRY AVE NE
City: Keizer
State: Oregon
ZIP Code: 97303-4924
Phone: (503) 602-8384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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