Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104787498 Individual Practitioner Male Practitioner

Orenthal James Jackson

Peer Specialist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Orenthal Jackson is a registered healthcare professional specializing in Peer Specialist in Vancouver, WA. Practice services are available at 9300 NE OAK VIEW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9300 Ne Oak View Dr

Vancouver, WA 986626157

Telephone 3605672211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
145 Specialists

Practicing in Vancouver, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-18
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sara Fiedler , MS

Counselor - Mental Health

NPI 1003266461

Master of Science

Sarah Roberts

Peer Specialist

NPI 1003479106
NPI 1003534512
Richard Mai

Counselor

NPI 1003534785
Sabrina Mitchell

Social Worker

NPI 1013327121
Nicole Moye

Counselor - Mental Health

NPI 1023232428

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2025

Registered at 9300 NE OAK VIEW DR, VANCOUVER, WA 986626157 (Tel: 3605672211)

📍
Updated Business Mailing Address November 18, 2025

Registered at 9300 NE OAK VIEW DR, VANCOUVER, WA 986626157

👤
Provider Name / Credentials Updated November 18, 2025

Recorded as ORENTHAL JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 18, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104787498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2025
Last Update: November 18, 2025
Sole Proprietor: No

Mailing Address

9300 Ne Oak View Dr

Vancouver, WA 986626157

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.