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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LYDIA MICHELLE JACKSON
NPI 1174344287
Doula in Portland, OR

Active since October 21, 2024
2800 N VANCOUVER AVE, PORTLAND, OR 97227(503) 413-4500 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lydia Michelle Jackson NPPES

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

LYDIA MICHELLE JACKSON (NPI 1174344287) is an individual doula in Portland, Oregon, licensed in Oregon (111668) and active in the NPI registry since October 2024. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1174344287
Entity TypeIndividualFemale
Primary Taxonomy374J00000X
Provider Legal NameLYDIA MICHELLE JACKSON
Location Address2800 N VANCOUVER AVEPortland, OR 97227-1630
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Phone(503) 413-4500
Sole ProprietorYes
Enumeration DateOctober 21, 2024
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
✔ NPI 1174344287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDoulaNursing Service Related Providers
Taxonomy Code374J00000X
License✔ Licensed in OR · 111668
Definition

Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.

2800 N VANCOUVER AVE, Portland, OR 97227
Open in Google Maps ↗

Secondary Practice Location 1

Location 13136 SE 136th AvePortland, OR 97236-2800 · Phone (971) 895-5485

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.

DR. EMMANUEL TRUNGTOAN TAVAN MD
Internal Medicine (Pulmonary Disease)
2800 N VANCOUVER AVE, SUITE 230
PORTLAND, OR 97227
Multnomah County (503) 413-2901
PATRICIA FUNK DO
Internal Medicine
2800 N VANCOUVER AVE, SUITE 230
PORTLAND, OR 97227
Multnomah County (503) 413-4340
MS. MARY LISA GATES LCSW
Social Worker (Clinical)
2800 N VANCOUVER AVE, SUITE 230
PORTLAND, OR 97227
Multnomah County (503) 413-5161
SUSAN T. SKINNER MD
Pediatrics
2800 N VANCOUVER AVE, SUITE 201
PORTLAND, OR 97227
Multnomah County (503) 331-2400
DR. TARA LYN EAGLE D.O.
Internal Medicine (Critical Care Medicine)
2800 N VANCOUVER AVE, SUITE 230
PORTLAND, OR 97227
Multnomah County (503) 413-2901
MELISSA KAY MULDER-WRIGHT MSW-LCSW
Social Worker (Clinical)
2800 N VANCOUVER AVE, SUITE 230
PORTLAND, OR 97227
Multnomah County (503) 413-2901
DR. GILLIAN RAE PIRO MD
Pediatrics
2800 N VANCOUVER AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2902
MRS. LISA MARIE PETROCCHI-COLLETT M.A.
Counselor (Mental Health)
2800 N VANCOUVER AVE, SUITE 201
PORTLAND, OR 97227
Multnomah County (503) 331-2436

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 Lydia Jackson's NPI number?

The NPI number for Lydia Jackson is 1174344287. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Where is Lydia Jackson located?

Lydia Jackson practices at 2800 N Vancouver Ave, Portland, OR 97227. The listed phone number is (503) 413-4500.

What is Lydia Jackson's specialty?

The primary specialty registered for this NPI is Doula with taxonomy code 374J00000X.

When was this NPI record last updated?

The NPPES record for Lydia Jackson was last updated on July 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.