BROOK JACKSON LPC
NPI 1518735786
Counselor - Professional in Tinamastes, PEREZ ZELEDON

Active since December 18, 2023
PURE LIFE 1, TINAMASTES, PEREZ ZELEDON 11902(503) 358-4293 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brook Jackson Lpc NPPES

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

BROOK JACKSON LPC (NPI 1518735786) is an individual professional provider in Tinamastes, PEREZ ZELEDON, licensed in Oregon (C7636) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1518735786
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBROOK JACKSONCredential: LPC
Location AddressPURE LIFE 1Tinamastes, PEREZ ZELEDON 11902
Mailing Address1444 Nw Albany AveBend, OR 97703-3163
Sole ProprietorNo
Enumeration DateDecember 18, 2023
NPPES CertifiedDecember 16, 2023
NPI 1518735786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C7636
PURE LIFE 1, Tinamastes, PEREZ ZELEDON 11902

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 Brook Jackson's NPI number?

The NPI number for Brook Jackson is 1518735786. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Brook Jackson located?

Brook Jackson practices at Pure Life 1, Tinamastes, PEREZ ZELEDON 11902. The listed phone number is (503) 358-4293.

What is Brook Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Brook Jackson was last updated on December 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.