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JORDAN JACKSON SR.
NPI 1134945579
Peer Specialist in Saint Helens, OR

Active since December 02, 2024
58147 COLUMBIA RIVER HWY STE C, SAINT HELENS, OR 97051(503) 396-5322 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Jackson Sr. NPPES

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

JORDAN JACKSON SR. (NPI 1134945579) is an individual peer specialist in Saint Helens, Oregon and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1134945579
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJORDAN JACKSON SR.
Location Address58147 COLUMBIA RIVER HWY STE CSaint Helens, OR 97051-6229
Mailing Address58147 Columbia River Hwy Ste CSaint Helens, OR 97051-6229
Phone(503) 396-5322
Sole ProprietorNo
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1134945579 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.
58147 COLUMBIA RIVER HWY STE C, Saint Helens, OR 97051
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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.

CHRISTOPHER WAYNE MOCCASIN
Peer Specialist
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (503) 396-5322
LACEY JADE JACKSON
Peer Specialist
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (503) 396-5322
PRECIOUS RAIN ANTELOPE
Peer Specialist
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (503) 396-5322
FERNANDO FLORES QUINONES
Peer Specialist
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (503) 396-5322
SIERRA MARIE DIBBLE
Counselor (Addiction (Substance Use Disorder))
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (503) 396-5322
CURTIS LINDSAY
Peer Specialist
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (503) 396-5322
TONY GILBERT
Peer Specialist
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (503) 396-5322
CHRISTIAN ALAN DALY
Counselor (Addiction (Substance Use Disorder))
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051
Columbia County (033) 965-3225

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 Jordan Jackson's NPI number?

The NPI number for Jordan Jackson is 1134945579. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Jordan Jackson located?

Jordan Jackson practices at 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051. The listed phone number is (503) 396-5322.

What is Jordan 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 Jordan Jackson was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.