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CHRISTIAN JACKSON
NPI 1215325824
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since January 05, 2015
847 NE 19TH AVE, SUITE 100, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christian Jackson NPPES

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

CHRISTIAN JACKSON (NPI 1215325824) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1215325824
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHRISTIAN JACKSON
Location Address847 NE 19TH AVE, SUITE 100Portland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateJanuary 5, 2015
✔ NPI 1215325824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
847 NE 19TH AVE, Portland, OR 97232
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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.

DEANNA GOLD M.A.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 891-9937
VALERIY IGUMNOV RN
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
HEAVEN WOODS
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769
MR. DEREK SUN
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
NATALIE TAYLOR
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
ANDREW VOGLER
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
SHANA AXTHELM
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 760-9606
JOSEPH WARREN LASAC
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Christian Jackson's NPI number?

The NPI number for Christian Jackson is 1215325824. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Christian Jackson located?

Christian Jackson practices at 847 NE 19th Ave Suite 100, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Christian Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Christian Jackson was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.