Are you Nicole Jackson? This profile is yours to edit: update your address, phone, photo and services.

Edit this profile

Provider Profile

Nicole Jackson

Is this you? Edit this profile

At a glance

About Nicole Jackson

Nicole Jackson is a healthcare provider in Portland, OR specializing in community/behavioral health agency. Nicole is also listed as specializing in addiction & substance abuse counselor. This provider record is associated with NPI 1063390870.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. T-25-5762As reported
OR licenceAs reported to the NPI registry
No. 25-QMHA-R-6774As reported
OR licenceAs reported to the NPI registry
No. 105324As reported
NPINational Provider Identifier
1063390870Issued 2025

As reported to the NPI registry ↗

Common questions

What does Nicole Jackson specialize in?

Nicole Jackson is a community/behavioral health agency in Portland, OR. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Nicole Jackson located?

Nicole Jackson is listed at 8355 N Interstate Ave, Portland, OR 97217. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Nicole Jackson's phone number?

The number on file is (503) 568-1408. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Nicole Jackson's NPI number?

Nicole Jackson's National Provider Identifier is 1063390870. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Nicole Jackson been practicing?

Nicole Jackson has 1+ years experience. Registered with an NPI since 2025. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Nicole Jackson confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Nicole Jackson. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.

A GigHz company · Founder: Pouyan Golshani, MD