Gambee, Jackson D

Gambee, Jackson D is an individual health care provider with primary practice located at 620 Ne 2Nd St , Gresham OR 97030-7514. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gambee, Jackson D can be contacted via phone (971) 274-3757.

Contact Information

Primary practice address
620 Ne 2Nd St Gresham OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 111563 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 23-QMHPC-001294 Oregon

Profile Details

NPI number 1194289520
LBN Legal business name Gambee, Jackson D
Credentials QMHP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2019
Last updated Mar 26th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194289520 NPPES
Oregon MEDICAID 500760109

Popular Providers