NPI 1033043468

Lacey Jade Jackson

Practitioner Peer Specialist Saint Helens, OR

Practice location

Address: 58147 Columbia River Hwy STE C, Saint Helens, OR 97051-6229
Phone: (503) 396-5322

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1033043468
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2026
Record last updated: 10 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.