MRS. LAURA MARIE JACKSON FNP, CWCN
NPI 1386987402
Nurse Practitioner - Family in Portland, OR
About Mrs. Laura Marie Jackson Fnp, Cwcn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LAURA MARIE JACKSON FNP, CWCN (NPI 1386987402) is an individual family provider in Portland, Oregon, licensed in Oregon (201250183NP) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Laura Marie Jackson Fnp, Cwcn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Laura Jackson's NPI number?
The NPI number for Laura Jackson is 1386987402. It was assigned to this individual provider in the NPPES registry on March 27, 2013. The provider is also known as Miss Laura Marie Moen Rn, Fnp.
Where is Laura Jackson located?
Laura Jackson practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (503) 220-8262.
What is Laura Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Laura Jackson enrolled in Medicare?
Yes. Laura Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Laura Jackson was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Laura Marie Jackson, FNP, CWCN · NPI 1386987402
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 27, 2013.
## Identity
- **NPI:** 1386987402 (Entity type: Individual)
- **Enumerated:** March 27, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201250183NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239-2964
- **Phone:** (503) 220-8262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 27, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1386987402) · Data from the CMS NPPES public registry.