MR. TYLER DEAN JACKSON


Address: 4455 Ne Hwy 20, Corvallis, OR 97330
Phone: 5417585900

MR. TYLER DEAN JACKSON (NPI# 1225518426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225518426
Entity Type Individual
Full Name MR. TYLER DEAN JACKSON
Practice Address 4455 Ne Hwy 20
Corvallis
OR 97330
Mailing Address 3415 Se Powell Blvd
Portland
OR 97202
Practice Telephone 5417585900
Mailing Telephone 5032349591
Enumeration Date 2018-08-16
Last Update Date 2018-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers TYLER JACKSON

NPI Name Taxonomy Address Enumeration
1295355816 Tyler Jackson Emergency Medicine 1625 N Campbell Ave, Tucson, AZ 85719-4330 2020-04-23
1033693155 Tyler Jackson Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2018-09-25
1306342084 Tyler Jackson Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-0001 2018-04-02
1336594696 Tyler Jackson Specialist/Technologist 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 2016-04-25
1023489796 Tyler Jackson Physical Therapist 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 2015-10-07
1245560002 Tyler Drew Jackson Case Manager/Care Coordinator 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 2009-12-29
1952583528 Tyler Bradley Jackson Occupational Therapy Assistant 907 N 2nd St, Albemarle, NC 28001-3317 2007-12-05

Office Location

Street Address 4455 NE HWY 20
City CORVALLIS
State OR
Zip Code 97330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114055670 Natalie Carol Forsyth Counselor 4455 Ne Hwy 20, Corvallis, OR 97330-9787 2007-02-28
1225677719 Taylor Nicole Witt Counselor 4455 Ne Hwy 20, Corvallis, OR 97330 2019-12-31
1306498001 Kendra Joe Hinchberger Counselor 4455 Ne Hwy 20, Corvallis, OR 97330 2019-07-12
1629635404 Tayah Alexis Dennis Behavior Technician 4455 Ne Hwy 20, Corvallis, OR 97330 2019-05-28
1801378260 Odessa K Billamor Social Worker 4455 Ne Hwy 20, Corvallis, OR 97330 2018-09-02
1063931525 Sarah Welch Counselor 4455 Ne Hwy 20, Corvallis, OR 97330 2017-09-15
1144756131 Tara Sorensen Counselor 4455 Ne Hwy 20, Corvallis, OR 97330 2017-05-11
1639604309 Melisa Miner Counselor 4455 Ne Hwy 20, Trillium Family Service - Children's Farm Home, Corvallis, OR 97330 2017-05-01
1053772210 Brent Wells Registered Nurse 4455 Ne Hwy 20, Corvallis, OR 97330 2016-03-16
1083082077 Mackenzie Rice Counselor 4455 Ne Hwy 20, Corvallis, OR 97330 2015-09-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235754912 Miya Claborn Counselor 4495 Se Hwy 20, Corvallis, OR 97330 2020-06-09
1548889017 Greydi Olvera Counselor Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 2020-04-14
1053953992 Andie Marie Gaipo Counselor 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 2019-10-11
1740847177 Stephen Jack Eccles Behavior Technician Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 2019-05-21
1750944815 Tiffany Rene Flinchpaugh Counselor Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 2019-04-15
1679035455 Isaiah Mile Cassidy Counselor Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 2019-04-02
1982168399 Haylee Cramblit Counselor Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 2019-01-30
1457835365 Ashley Alyn Couch Counselor 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 2018-09-18
1104318898 Megan Gerding Technician, Other 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 2018-05-30
1700377108 Pacific Hearing Services Audiologist 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 2018-05-22
Find all providers in zip 97330

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861844813 Joe Liddell Social Worker 408 Sw Monroe Ave Ste L101, Corvallis, OR 97333-7225 2016-07-01
1407145139 Angela Joy Dahlke Social Worker 1638 Sw Reed Pl, Corvallis, OR 97333-1501 2011-04-04
1982863189 Brian Matthew Lindenmuth Social Worker 216 Ne Plymouth Cir, Corvallis, OR 97330-4124 2008-06-03
1205003191 Jenni Redner Social Worker 2608 Nw Chinaberry Pl, Corvallis, OR 97330-3310 2008-05-11
1548447550 Aaron Stanek Social Worker 4455 Ne Highway, Corvallis, OR 97330 2008-01-22
1487842431 Joseph Patrick Sanders Social Worker 329 Sw 6th St, Rm 1-b, Corvallis, OR 97333-4698 2007-10-03
1114117785 April Renee Hawk Social Worker 4455 Ne Hightway 20, Children's Farm Home, Corvallis, OR 97330 2007-07-30
1982807798 Sean Patrick Wood Social Worker 4455 N.e. Hwy 20, Corvallis, OR 97330 2007-06-08
1073716890 Jason Brett Lewis Social Worker 1967 Nw Hayes Ave, Corvallis, OR 97330-2540 2007-06-08
1497958078 Holly Elise Pomme Social Worker 260 Sw Madison Ave, Suite 119, Corvallis, OR 97333-4798 2007-06-08
Find all providers in CORVALLIS

Competitor

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City CORVALLIS
Zip Code 97330

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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