Kimberley Jennifer Jackson
Social Worker Rehabilitation Counselor
3180 Center St Ne
Salem
, Oregon 97301-4532
Kimberley Jennifer Jackson
Social Worker Rehabilitation Counselor
3180 Center St Ne
Salem
, Oregon 97301-4532
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About
Features
Specialties
- Social Worker
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Kimberley Jennifer Jackson
- 12200 Sw Horizon Blvd #208
- Beaverton, OR
- Zip : 97007-9329
- Phone :
Second Address
- Kimberley Jennifer Jackson
- 3180 Center St Ne
- Salem, OR
- Zip : 97301-4532
- Phone : (503) 588-5351
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | ||
| N | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1275677148 |
|---|---|
| Provider Name | Kimberley Jennifer Jackson |
| First Address | Beaverton, OR 97007-9329 |
| Second Address | Salem, OR 97301-4532 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2007 |
| Last Update Date | 20/08/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.