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ELIJAH JACKSON
NPI 1215730452
Case Manager/Care Coordinator in Portland, OR

Active since March 31, 2025
84 NE WEIDLER ST, PORTLAND, OR 97232(971) 380-7594 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elijah Jackson NPPES

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

ELIJAH JACKSON (NPI 1215730452) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1215730452
Entity TypeIndividual
Primary Taxonomy171M00000X
Provider Legal NameELIJAH JACKSON
Location Address84 NE WEIDLER STPortland, OR 97232-1119
Mailing Address84 Ne Weidler StPortland, OR 97232-1119 · (971) 380-7594
Phone(971) 380-7594
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1215730452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
84 NE WEIDLER ST, Portland, OR 97232
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Other Providers at the Same Location NPPES 9

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

BIANCA RODRIGUEZ
Peer Specialist
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594
JOSHUA HOVDE
Case Manager/Care Coordinator
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594
LATOYA WINSTON
Case Manager/Care Coordinator
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594
REGINA RAMIREZ
Case Manager/Care Coordinator
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594
SUNSTONE WAY
Community/Behavioral Health
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594
MARICELA PEDRO
Case Manager/Care Coordinator
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594
KAREN GARCIA RODRIGUEZ
Case Manager/Care Coordinator
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594
NICOLE BLANCK
Peer Specialist
84 NE WEIDLER ST
PORTLAND, OR 97232
Multnomah County (971) 380-7594

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 Elijah Jackson's NPI number?

The NPI number for Elijah Jackson is 1215730452. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Elijah Jackson located?

Elijah Jackson practices at 84 NE Weidler St, Portland, OR 97232. The listed phone number is (971) 380-7594.

What is Elijah Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Elijah Jackson was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.