COURTNEY BROOKE JACKSON (NPI# 1689824302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689824302 |
| Entity Type | Individual |
| Full Name | COURTNEY BROOKE JACKSON |
| Credential | N.D. |
| Practice Address |
511 Sw 10th Ave Ste 801 Portland OR 97205-2709 |
| Practice Telephone | 5032308973 |
| Practice Fax Number | 5032308978 |
| Mailing Telephone | 5032308973 |
| Mailing Fax Number | 5032308978 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 1631 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394938 | Courtney Jackson | Technician | 497 Candlestick Ct Apt B, Galloway, OH 43119-9216 | 2020-10-20 |
| 1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
| 1912318429 | Courtney Jackson | Technician | 4134 Woodmont Dr, Houston, TX 77045-3330 | 2014-05-19 |
| 1760814396 | Courtney Danielle Jackson | Counselor | 534 E Basin St, Norristown, PA 19401-4068 | 2013-08-06 |
| 1487930723 | Courtney Jackson | Specialist/Technologist | 19424 Fallow Ln, Edinburg, TX 78542-1038 | 2011-11-01 |
| 1063606846 | Courtney Lara Jackson | Counselor | 1801 Vincente St, San Francisco, CA 94116-2923 | 2007-09-05 |
| 1164029245 | Courtney Jackson | Speech-Language Pathologist | 65 Court St, Brooklyn, NY 11201-4916 | 2020-10-02 |
| 1457966509 | Courtney Tamara Jackson | Nurse Practitioner | 407 Cowart Ave, Valdosta, GA 31602-2635 | 2020-09-14 |
| 1013533926 | Courtney Marie Jackson | Family Medicine | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2020-06-17 |
| 1508494600 | Courtney Elyse Jackson | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2020-04-01 |
| Street Address |
511 SW 10TH AVE STE 801 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129609 | Misty Lynn Story | Naturopath | 511 Sw 10th Ave Ste 801, Portland, OR 97205-2709 | 2018-10-02 |
| 1790295889 | Kelly Head | Naturopath | 511 Sw 10th Ave Ste 801, Portland, OR 97205-2709 | 2017-10-03 |
| 1639507965 | Kelly Raylinsky | Clinic/Center | 511 Sw 10th Ave Ste 801, Portland, OR 97205-2709 | 2013-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070066 | Jennifer Ann Hampton | Naturopath | 8375 Sw Beaverton Hillsdale Hwy Ste A, Portland, OR 97225-2252 | 2020-10-16 |
| 1376140160 | Casey Rae Rohrbeck | Naturopath | 5020 Ne 32nd Ave Apt 4, Portland, OR 97211-6960 | 2020-10-05 |
| 1366049314 | Jenna Halbert | Naturopath | 333 Ne Russell St Ste 207, Portland, OR 97212-3763 | 2020-10-02 |
| 1679189252 | Hannah Rikoon | Naturopath | 49 S Porter St, Portland, OR 97201-4873 | 2020-09-19 |
| 1710593306 | Charlotte Nowack | Naturopath | 5331 S Macadam Ave Ste 380, Portland, OR 97239-3879 | 2020-09-18 |
| 1043824964 | Pc Health, LLC | Naturopath | 6519 N Vancouver Ave Apt C, Portland, OR 97217-1954 | 2020-09-08 |
| 1821602673 | Stephanie Joy Vickers | Naturopath | 4510 Sw Valona Way, Portland, OR 97219-6827 | 2020-08-31 |
| 1700496957 | Dr. Karen Cureton Nd, Lac | Naturopath | 4818 Se Naef Rd, Portland, OR 97267-4037 | 2020-08-03 |
| 1679182992 | Andrew Wojciechowski | Naturopath | 2701 Nw Vaughn St Ste 424, Portland, OR 97210-5362 | 2020-07-23 |
| 1568082972 | Tristian Rowe | Naturopath | 8407 Sw 35th Ave, Portland, OR 97219-3831 | 2020-04-26 |
| Find all providers in PORTLAND | ||||
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| 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.