Deforrest Kwesi Jackson CADC-R

  • NPI 1194356618
According to our database, the NPI number for Deforrest Kwesi Jackson CADC-R is 1194356618 and activated since 4 years ago. Deforrest Kwesi Jackson CADC-R is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 122 Ne 122nd Ave Ste 200, Portland, OR 97230. You can also contact Deforrest Kwesi Jackson CADC-R via telephone number is (503) 995-3718. Provider NPI information was last updated on 02/03/2020.

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Overview of Deforrest Kwesi Jackson CADC-R

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/03/2020
  • Last updated: 02/03/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: T-20-047
  • License State: OR

Provider Mailing Address

  • Address: 11400 Se 90th Ave Apt 1424
    Happy Valley, OR 97086
  • Phone: 503-432-7975
  • Fax:

Provider Practice Location

  • Address: 122 Ne 122nd Ave Ste 200
    Portland, OR 97230
  • Phone: 503-995-3718
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: T-20-047
  • License State: OR
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Deforrest Kwesi Jackson CADC-R?
  • A: The npi number for Deforrest Kwesi Jackson CADC-R is 1194356618.
  • Q: What are Deforrest Kwesi Jackson CADC-R's specialties?
  • A: Deforrest Kwesi Jackson CADC-R's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Deforrest Kwesi Jackson CADC-R?
  • A: The medical license number for Deforrest Kwesi Jackson CADC-R is T-20-047 and issued in OR in USA.
  • Q: Where is Deforrest Kwesi Jackson CADC-R practice location?
  • A: Deforrest Kwesi Jackson CADC-R is practicing at 122 Ne 122nd Ave Ste 200, Portland, OR 97230.
  • Q: How to contact Deforrest Kwesi Jackson CADC-R?
  • A: You can contact Deforrest Kwesi Jackson CADC-R via 503-995-3718.