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YOLANDA M JACKSON CRM
NPI 1487343380
Peer Specialist in Portland, OR

Active since May 05, 2023
1817 NE 6TH AVENUE, PORTLAND, OR 97212(503) 719-7985(503) 944-5262 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yolanda M Jackson Crm NPPES

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

YOLANDA M JACKSON CRM (NPI 1487343380) is an individual peer specialist in Portland, Oregon, licensed in Oregon (22-CRM-1546) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1487343380
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameYOLANDA M JACKSONCredential: CRM
Location Address1817 NE 6TH AVENUEPortland, OR 97212-3906
Mailing Address1817 Ne 6th AvenuePortland, OR 97212-3906 · (503) 719-7985 · Fax (503) 944-5262
Phone(503) 719-7985
Fax(503) 944-5262
Sole ProprietorYes
Enumeration DateMay 5, 2023
NPPES CertifiedMay 5, 2023
✔ NPI 1487343380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 22-CRM-1546
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.
1817 NE 6TH AVENUE, Portland, OR 97212
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Other Providers at the Same Location NPPES 2

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

TRACY JARLEE OMHA
Counselor (Mental Health)
1817 NE 6TH AVENUE
PORTAND, OR 97212
Multnomah County (503) 719-7985
DENISE MILLAGE CRM
Peer Specialist
1817 NE 6TH AVENUE
PORTLAND, OR 97212
Multnomah County (503) 719-7985

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 Yolanda Jackson's NPI number?

The NPI number for Yolanda Jackson is 1487343380. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Yolanda Jackson located?

Yolanda Jackson practices at 1817 NE 6th Avenue, Portland, OR 97212. The listed phone number is (503) 719-7985.

What is Yolanda 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 Yolanda Jackson was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.