Kimberley Jennifer Jackson

NPI #1275677148 in Salem, Oregon

Provider Information

NPI Number: 1275677148
Entity Type: Individual
Name: Kimberley Jennifer Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 16, 2007
Last Updated: Aug 20, 2009

Practice Location

Address: 3180 CENTER ST NE
City: Salem
State: Oregon
ZIP Code: 97301-4532
Phone: (503) 588-5351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary
Rehabilitation Counselor	225C00000X

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