NPI 1083309108

Roxanne Marie Jackson, MSWCSWA

Practitioner Clinical Social Worker Clackamas, OR

Practice location

Address: 10151 SE Sunnyside Rd STE 480, Clackamas, OR 97015-5705
Phone: (503) 739-8321
Mailing address: 9701 SE Johnson Creek Blvd APT F108, Happy Valley, OR 97086-3681

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence A14459 (OR)

Other Social Worker providers in Oregon →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 23-QMHP-R-2303 (OR)

Registry record

NPI: 1083309108
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2023
Record last updated: 2 Nov 2023

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.