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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAN LESLIE JACKSON, PHYSICAL THERAPIST

Active

JAN LESLIE JACKSON, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in BEAVERTON, Oregon. NPI 1831173251 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BEAVERTON, OR

Registration Details

NPI Number
1831173251
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2005 (20.520822174185 yrs)
Last Updated
Nov 8, 2007
Licenses
2109 (OR)
10931 (CA)

Practice Information

Address
13470 SW FARMINGTON RD
BEAVERTON, OR, 970052618
Browse OR providers · Browse ZIP 97005
Phone
5036443311
Fax
5036270112
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BEAVERTON, OR

Name Credential NPI
SHANDA AILENE MCCORMICK PT 1932181062
STEVEN RICHARD JONES PHYSICAL THERAPIST 1346222817
ZACHARY REES JONES PT 1063495950
MR. ROBERT WILLIAM FLEMING MPT 1649253592
MRS. CATHERINE POST SLOAN PHYSICAL THERAPIST 1275505299
KENT TSURUO MORIMATSU PT 1841265287
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.