1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Peer Specialist
  6. NPI Profile

SHANEAN L JACKSON
NPI 1427894203
Peer Specialist in Portland, OR

Active since July 02, 2024
5331 S MACADAM AVE STE 287, PORTLAND, OR 97239(503) 635-3416 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shanean L Jackson NPPES

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

SHANEAN L JACKSON (NPI 1427894203) is an individual peer specialist in Portland, Oregon and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1427894203
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANEAN L JACKSON
Location Address5331 S MACADAM AVE STE 287Portland, OR 97239-3849
Mailing Address5331 S Macadam Ave Ste 287Portland, OR 97239-3849
Phone(503) 635-3416
Sole ProprietorNo
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1427894203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5331 S MACADAM AVE STE 287, Portland, OR 97239
Open in Google Maps ↗

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.

DANIEL KEIFALA SWARAY
Social Worker (Clinical)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
ALEC PASCUAL LARRAZA
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
TATE BEERS
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
FRAN ZOLDYCK
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
SIERRALAND LUNA NITA GALE
Peer Specialist
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
KYLE SANTIAGO MCBRIDE
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
ETHAN BULISCO
Peer Specialist
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
LILYANA JULIETTE DOUPE
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416

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 Shanean Jackson's NPI number?

The NPI number for Shanean Jackson is 1427894203. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Shanean Jackson located?

Shanean Jackson practices at 5331 S Macadam Ave Ste 287, Portland, OR 97239. The listed phone number is (503) 635-3416.

What is Shanean Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shanean Jackson was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.