Jackson, Jonathan Mark

Jackson, Jonathan Mark is an individual health care provider with primary practice located at 1000 3Rd St , Tillamook OR 97141-3430. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jackson, Jonathan Mark can be contacted via phone (503) 842-4444.

Contact Information

Primary practice address
1000 3Rd St Tillamook OR 97141-3430
Phone: (503) 842-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT35976 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2974 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 60682 Oregon

Profile Details

NPI number 1295062792
LBN Legal business name Jackson, Jonathan Mark
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2009
Last updated Sep 10th, 2014 - about 12 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.

Request for update

Popular Providers