Lashaunda Louise Jackson

NPI #1326186271 in Portland, Oregon

Provider Information

NPI Number
1326186271
Entity Type
Individual
Name
Lashaunda Louise Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Feb 2, 2007
Last Updated
Dec 14, 2009

Practice Location

Address
509 NE ALBERTA ST
State
Oregon
ZIP Code
97211-3976
Phone
(503) 249-7767

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness
Case Manager/Care Coordinator

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