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

SHAWNTAE JACKSON
NPI 1558071399
Technician - Personal Care Attendant in Portland, OR

Active since December 02, 2022
2270 NW OVERTON ST, PORTLAND, OR 97210(503) 241-6051 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawntae Jackson NPPES

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

SHAWNTAE JACKSON (NPI 1558071399) is an individual personal care attendant in Portland, Oregon and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1558071399
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHAWNTAE JACKSON
Location Address2270 NW OVERTON STPortland, OR 97210-2927
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 241-6051
Sole ProprietorNo
Enumeration DateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1558071399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2270 NW OVERTON ST, Portland, OR 97210
Open in Google Maps ↗

Other Names 1

Former Name (1)Shawntae Cooper

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.

MOSES KARIUKI THUITA
Case Manager/Care Coordinator
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 241-6051
JENNIFER SCIOSCIA AS
Adult Companion
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 241-6051
MARISSA ANN KAYTON QMHA
Adult Companion
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 241-6051
MR. MARK EDWARD FLATHMAN
Adult Companion
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 241-6051
EDITH IRIS FARROW
Case Manager/Care Coordinator
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 222-1357
YOUSIF M HASAN
Case Manager/Care Coordinator
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 241-6051
MR. ROBERT DOUGLAS WEBB QMHA
Adult Companion
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 241-6051
LAURA ASHLEY GOODRUM
Case Manager/Care Coordinator
2270 NW OVERTON ST
PORTLAND, OR 97210
Multnomah County (503) 241-6051

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 Shawntae Jackson's NPI number?

The NPI number for Shawntae Jackson is 1558071399. It was assigned to this individual provider in the NPPES registry on December 2, 2022. The provider is also known as Shawntae Cooper.

Where is Shawntae Jackson located?

Shawntae Jackson practices at 2270 NW Overton St, Portland, OR 97210. The listed phone number is (503) 241-6051.

What is Shawntae Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Shawntae Jackson was last updated on December 2, 2022. 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.