Jackson, Rachael Alexis
Jackson, Rachael Alexis is an individual health care provider with primary practice located at 8401 Ne Halsey St Ste 107 , Portland OR 97220-5670. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Rachael Alexis can be contacted via phone (503) 998-3584.Contact Information
Primary practice address
8401 Ne Halsey St Ste 107
Portland OR 97220-5670
Phone: (503) 998-3584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | L10943 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L10943 | Oregon |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 115304 | Texas |
Profile Details
| NPI number | 1285992628 |
|---|---|
| LBN Legal business name | Jackson, Rachael Alexis |
| Credentials | MS, MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2012 |
| Last updated | Jul 25th, 2025 - about last year |
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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