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KEVIN JACKSON
NPI 1194178053
Counselor - Mental Health in Tigard, OR

Active since July 15, 2016
8915 SW CENTER ST, TIGARD, OR 97223(503) 726-3740 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Jackson NPPES

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

KEVIN JACKSON (NPI 1194178053) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1194178053
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN JACKSON
Location Address8915 SW CENTER STTigard, OR 97223-6307
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3740
Phone(503) 726-3740
Sole ProprietorYes
Enumeration DateJuly 15, 2016
✔ NPI 1194178053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8915 SW CENTER ST, Tigard, OR 97223
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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.

MATTHEW HARHAI
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
BRIANNA UILANI KAALAKEA
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
FLETCHER NASH CRM,THW
Peer Specialist
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (037) 263-6905
MISS SHEILA MIRANDA
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
JOHN PATRICK CATE
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
JULIA ADAMS-OPPERMAN
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
CORBIN GRONVOLD
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
TASHINA LOUISE HENDON
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740

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 Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1194178053. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Kevin Jackson located?

Kevin Jackson practices at 8915 SW Center St, Tigard, OR 97223. The listed phone number is (503) 726-3740.

What is Kevin Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kevin Jackson was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.