1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Peer Specialist
  6. NPI Profile

ORENTHAL JAMES JACKSON JR.
NPI 1104787498
Peer Specialist in Vancouver, WA

Active since November 18, 2025
9300 NE OAK VIEW DR, VANCOUVER, WA 98662(360) 567-2211 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orenthal James Jackson Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORENTHAL JAMES JACKSON JR. (NPI 1104787498) is an individual peer specialist in Vancouver, Washington and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1104787498
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameORENTHAL JAMES JACKSON JR.
Location Address9300 NE OAK VIEW DRVancouver, WA 98662-6157
Mailing Address9300 Ne Oak View DrVancouver, WA 98662-6157
Phone(360) 567-2211
Sole ProprietorNo
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1104787498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
9300 NE OAK VIEW DR, Vancouver, WA 98662
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA FIEDLER MS
Counselor (Mental Health)
9300 NE OAK VIEW DR
VANCOUVER, WA 98662
Clark County (360) 567-2211
SARAH LYNN ROBERTS
Peer Specialist
9300 NE OAK VIEW DR
VANCOUVER, WA 98662
Clark County (360) 567-2211
NICOLE YOUNGERMAN
Counselor
9300 NE OAK VIEW DR
VANCOUVER, WA 98662
Clark County (360) 567-2211
RICHARD MAI
Counselor
9300 NE OAK VIEW DR
VANCOUVER, WA 98662
Clark County (360) 567-2211
MISS SABRINA MITCHELL
Social Worker
9300 NE OAK VIEW DR
VANCOUVER, WA 98662
Clark County (360) 567-2211
PAUL DANIEL WADDINGTON
Case Manager/Care Coordinator
9300 NE OAK VIEW DR
VANCOUVER, WA 98662
Clark County (369) 567-2211
MS. NICOLE MICHELLE MOYE
Counselor (Mental Health)
9300 NE OAK VIEW DR
VANCOUVER, WA 98662
Clark County (360) 567-2211
MRS. MEAGHAN BEDROSSIAN MSW, MHP
Counselor
9300 NE OAK VIEW DR, STE B
VANCOUVER, WA 98662
Clark County (360) 567-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orenthal Jackson's NPI number?

The NPI number for Orenthal Jackson is 1104787498. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Orenthal Jackson located?

Orenthal Jackson practices at 9300 NE Oak View Dr, Vancouver, WA 98662. The listed phone number is (360) 567-2211.

What is Orenthal Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Orenthal Jackson was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.