Jackson, Liberty Zariah

Jackson, Liberty Zariah is an sole proprietor health care provider with primary practice located at 2901 Falk Rd , Vancouver WA 98661-6392. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackson, Liberty Zariah can be contacted via phone (360) 313-1250.

Contact Information

Primary practice address
2901 Falk Rd Vancouver WA 98661-6392
Phone: (360) 313-1250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT60234654 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT287043 Oregon

Profile Details

NPI number 1215287008
LBN Legal business name Jackson, Liberty Zariah
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 14 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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