Jackson, Corey Jai

Jackson, Corey Jai is an individual health care provider with primary practice located at 921 Country Club Rd Ste 222 , Eugene OR 97401-2238. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Jackson, Corey Jai can be contacted via phone (541) 686-6000.

Contact Information

Primary practice address
921 Country Club Rd Ste 222 Eugene OR 97401-2238
Phone: (541) 686-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C4737 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1194866707
LBN Legal business name Jackson, Corey Jai
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated May 25th, 2023 - about 3 years 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.

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