ROBERT JACKSON
NPI 1538864038
Peer Specialist in Eugene, OR

Active since April 03, 2023
2525 PORTLAND ST, EUGENE, OR 97405(541) 515-6321(541) 515-6195 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 5, 2023, Apr 3, 2023 (2 updates tracked since 2023).

About Robert Jackson NPPES

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

ROBERT JACKSON (NPI 1538864038) is an individual peer specialist in Eugene, Oregon and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1538864038
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameROBERT JACKSON
Location Address2525 PORTLAND STEugene, OR 97405-3153
Mailing AddressPo Box 320Siletz, OR 97380-0320
Fax(541) 515-6195
Sole ProprietorYes
Enumeration DateApril 3, 2023
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1538864038 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.
2525 PORTLAND ST, Eugene, OR 97405

Other Providers at the Same Location NPPES 3

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

Community Based Residential Treatment Facility, Mental Illness
2525 PORTLAND ST
EUGENE, OR 97405
Counselor (Mental Health)
2525 PORTLAND ST
EUGENE, OR 97405
Counselor (Mental Health)
2525 PORTLAND ST
EUGENE, OR 97405

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1538864038. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Robert Jackson located?

Robert Jackson practices at 2525 Portland St, Eugene, OR 97405. The listed phone number is (541) 515-6321.

What is Robert 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 Robert Jackson was last updated on October 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.