DR. CHRISTINE WILKES JACKSON (NPI# 1902927783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902927783 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE WILKES JACKSON |
| Credential | PSY.D. |
| Practice Address |
516 Se Morrison St Suite 650 Portland OR 97214-2327 |
| Practice Telephone | 5032342098 |
| Mailing Telephone | 5032342098 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1641 | OR | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1641 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735774 | Christine A Jackson | Driver | 2791 Burri Ter, North Port, FL 34288-6337 | 2018-10-02 |
| 1366952947 | Christine Jackson | Massage Therapist | 5103 N 10th St, Mcallen, TX 78504-2835 | 2017-10-09 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1114286150 | Christine Stevens Jackson | Technician, Pathology | 161 Liberty St, Mc Clellanville, SC 29458-9721 | 2012-05-11 |
| 1275773665 | Christine Denise Jackson | Nurse Practitioner | 324 Courthouse Sq, Bay Minette, AL 36507-4809 | 2009-02-25 |
| 1114087996 | Christine Jackson | Family Medicine | 65 East 100 North, Gunnison, UT 84634-0759 | 2006-12-11 |
| 1861476889 | Christine Jackson | Internal Medicine | 162 W Central Ave, Eagar, AZ 85925-9707 | 2005-12-02 |
| 1164040515 | Christine Elizabeth Jackson | Obstetrics & Gynecology | 7710 Mercy Rd Ste 602, Omaha, NE 68124-2371 | 2020-07-13 |
| 1437628252 | Christine Jackson | Behavior Technician | 1100 Melody Ln Ste 111, Roseville, CA 95678-5204 | 2018-11-21 |
| 1689129322 | Christine Jackson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2016-08-23 |
| Street Address |
516 SE MORRISON ST SUITE 650 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215904370 | Anne Dolores Emmett | Social Worker | 516 Se Morrison St, Suite 500, Portland, OR 97214-2327 | 2006-03-07 |
| 1942757356 | Red Fern Acupuncture and Wellness | Acupuncturist | 516 Se Morrison St, Portland, OR 97214-2327 | 2016-09-01 |
| 1255705133 | Casey Elizabeth Carpenter | Acupuncturist | 516 Se Morrison St, Suite 207, Portland, OR 97214-2327 | 2015-11-16 |
| 1669845665 | Dr. Casey Carpenter, LLC | Acupuncturist | 516 Se Morrison St, Suite 207, Portland, OR 97214-2327 | 2015-11-12 |
| 1699141663 | Sarah Elizabeth Silverman | Naturopath | 516 Se Morrison St, Portland, OR 97214-2327 | 2015-08-13 |
| 1588053185 | William Miller Lmt LLC | Specialist | 516 Se Morrison St, Suite 207, Portland, OR 97214-2327 | 2015-01-20 |
| 1336545144 | East By Northwest Integrative Medicine | Naturopath | 516 Se Morrison St, Suite 207, Portland, OR 97214-2327 | 2014-11-06 |
| 1851796833 | Healing Elements Natural Medicine LLC | Naturopath | 516 Se Morrison St, Suite 207, Portland, OR 97214-2327 | 2014-11-03 |
| 1700288669 | Malea Macodrum | Acupuncturist | 516 Se Morrison St, Suite 207, Portland, OR 97214-2327 | 2014-09-23 |
| 1316348493 | Walk The Talk Therapy | Counselor | 516 Se Morrison St, Suite 510, Portland, OR 97214-2327 | 2014-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| 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.