ANDREA JACKSON LAC
NPI 1518000140
Acupuncturist in Gresham, OR

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1518000140. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 14, 2007

33 NE KELLY AVE, GRESHAM, OR 97030(503) 545-2393 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Andrea Jackson Lac NPPES

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

ANDREA JACKSON LAC (NPI 1518000140) is an individual acupuncturist in Gresham, Oregon, licensed in Oregon (AC01036) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1518000140

Entity TypeIndividualFemale

Primary Taxonomy171100000X

Provider Legal NameANDREA JACKSONCredential: LAC

Location Address33 NE KELLY AVEGresham, OR 97030-7539

Mailing Address2005 Se 159th PlVancouver, WA 98683-4406 · (503) 545-2393

Phone(503) 545-2393

Sole ProprietorYes

Enumeration DateFebruary 14, 2007

Last NPPES UpdateJuly 8, 2011

✔ NPI 1518000140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in OR · AC01036

Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

33 NE KELLY AVE, Gresham, OR 97030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

MRS. KARIN GOODELL FERGUSON L.AC.

Acupuncturist

33 NE KELLY AVE
GRESHAM, OR 97030

Multnomah County (503) 516-5321

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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1518000140. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Andrea Jackson located?

Andrea Jackson practices at 33 NE Kelly Ave, Gresham, OR 97030. The listed phone number is (503) 545-2393.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Andrea Jackson accept?

Health plans from Kaiser Permanente and Providence Health Plan list Andrea Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.