BRET D JACKSON
NPI 1780379909
Counselor - Addiction (Substance Use Disorder) in Portland, OR
Active since April 05, 2023
About Bret D Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRET D JACKSON (NPI 1780379909) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since April 2023.
NPPES Registry Identity
NPI1780379909
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRET D JACKSON
Location Address905 SE 14TH AVEPortland, OR 97214-2569
Mailing Address905 Se 14th AvePortland, OR 97214-2569 · (503) 622-8964
Phone(503) 622-8964
Sole ProprietorNo
Enumeration DateApril 5, 2023
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1780379909 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
905 SE 14TH AVE, Portland, OR 97214
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Nurse Practitioner (Psychiatric/Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
PORTLAND, OR 97214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780379909, enumerated as an "individual" on April 05, 2023.
The provider is located at 905 SE 14TH AVE PORTLAND, OR 97214 and the phone number is (503) 622-8964.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
