Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEFORREST KWESI JACKSON, CADC-1
ActiveDEFORREST KWESI JACKSON, CADC-1 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PORTLAND, Oregon. NPI 1194356618 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PORTLAND, OR
Registration Details
- NPI Number
- 1194356618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2020 (6.4815933927189 yrs)
- Last Updated
- Mar 3, 2022
- License
-
T-20-047 (OR)
Practice Information
- Address
-
12670 NW BARNES RD STE 200PORTLAND, OR, 972299001Browse OR providers · Browse ZIP 97229
- Phone
- 9712323850
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| AAILEEN SUE CARMELL | MS | 1013908508 |
| ANDULIA WHITE ELK | CADCI | 1053302554 |
| PATRICIA M HARLAND | CADC1 | 1952392433 |
| PEGGY LACOMBE | CADCII | 1124019617 |
| LINDA LOUISE | CADC II | 1407847973 |
| SCOTT E BUSER | CADC II/QMHA | 1821079609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.