Judy Jackson
Licensed Practical Nurse • Portland, OR
Professional Overview & Biography Verified Profile Summary
Judy Jackson is a registered healthcare professional specializing in Licensed Practical Nurse in Portland, OR. Practice services are available at 745 NE 122ND AVE under active NPI credentials.
Practice Location & Contact Primary Location
745 Ne 122nd Ave
Portland, OR 972302001
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Portland, OR
Practicing in Portland, OR (741 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-01-02NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapy Assistant
Speech-Language Pathologist
Speech-Language Pathologist
Licensed Practical Nurse
Licensed Practical Nurse
Community Health Worker
Doctor of Occupational Therapy
Registered Nurse - Infection Control
Bachelor of Science in Nursing, Registered Nurse, IPC
Registered Nurse - General Practice
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 745 NE 122ND AVE, PORTLAND, OR 972302001 (Tel: 5032520241)
Registered at 745 NE 122ND AVE, PORTLAND, OR 972302001
Recorded as JUDY JACKSON
Licensed Practical Nurse (License #201408689LPN in OR)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
745 Ne 122nd Ave
Portland, OR 972302001
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