SEAN JACKSON
NPI 1982377644
Student in an Organized Health Care Education/Training Program in Portland, OR
About Sean Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN JACKSON (NPI 1982377644) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sean Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Sean Jackson's NPI number?
The NPI number for Sean Jackson is 1982377644. It was assigned to this individual provider in the NPPES registry on July 28, 2021.
Where is Sean Jackson located?
Sean Jackson practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is Sean Jackson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sean Jackson enrolled in Medicare?
Yes. Sean Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sean Jackson was last updated on April 3, 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.
# Sean Jackson · NPI 1982377644
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 28, 2021.
## Identity
- **NPI:** 1982377644 (Entity type: Individual)
- **Enumerated:** July 28, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1982377644) · Data from the CMS NPPES public registry.