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MICHAEL SCOTT JACKSON
NPI 1962647107
Counselor - Mental Health in White City, OR

Active since December 02, 2008
8495 CRATER LAKE HWY, WHITE CITY, OR 97503(541) 826-2111 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Scott Jackson NPPES

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

MICHAEL SCOTT JACKSON (NPI 1962647107) is an individual mental health provider in White City, Oregon and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1962647107
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL SCOTT JACKSON
Location Address8495 CRATER LAKE HWYWhite City, OR 97503-3011
Mailing Address415 Placer StRogue River, OR 97537-9516 · (661) 886-9444
Phone(541) 826-2111
Sole ProprietorNo
Enumeration DateDecember 2, 2008
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1962647107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8495 CRATER LAKE HWY, White City, OR 97503
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Other Identifiers 1

Other05846KS · State Of Kansas Behavioral Sciences Regulatory Board

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.

ADRIAN ANTHONY GARIBAY
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
KANDICE DRAAYER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
WHITE CITY VAMC
General Acute Care Hospital
8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503
Jackson County (702) 341-3164
MR. KEVIN LEONARD WILLIAMS MSW, LCSW
Social Worker (Clinical)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
DR. ERIC GUSTAFSON PHARM.D.
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
LYN WAYNE SHEPERD
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
JEAN EILEEN MOUNT
Nurse Practitioner (Adult Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
MR. MICHAEL JOHN OMALLEY M.S., LPC, LMHC
Counselor (Mental Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111

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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1962647107. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Where is Michael Jackson located?

Michael Jackson practices at 8495 Crater Lake Hwy, White City, OR 97503. The listed phone number is (541) 826-2111.

What is Michael Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.