Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA JACKSON, LAC
Active Sole ProprietorANDREA JACKSON, LAC is a Acupuncturist healthcare provider located in GRESHAM, Oregon. NPI 1518000140 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · GRESHAM, OR
Registration Details
- NPI Number
- 1518000140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2007 (19.472782420979 yrs)
- Last Updated
- Jul 8, 2011
- License
-
AC01036 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 NE KELLY AVEGRESHAM, OR, 970307539Browse OR providers · Browse ZIP 97030
- Phone
- 5035452393
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC STRAND | LAC, DAC, PHD | 1558352047 |
| LEAH R YAMAGUCHI | LAC | 1952497000 |
| AARON ANNIS | L.AC, LMT | 1316028509 |
| MICHELLE GAULKE BLACKWOOD | LAC | 1982780136 |
| CHRISTINA LAMBERT | L.AC. | 1164558979 |
| JOSEPH JOHN RIPPLINGER | LAC. | 1437374253 |
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.