Individual
ROXANNE MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSWA
Contact information
Practice address
10151 SE SUNNYSIDE RD STE 480, CLACKAMAS, OR 97015-5705
(503) 739-8321
Mailing address
9701 SE JOHNSON CREEK BLVD APT F108, HAPPY VALLEY, OR 97086-3681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
23-QMHP-R-2303
OR
1041C0700X
Clinical Social Worker
Primary
A14459
OR
Other
Enumeration date
04/05/2023
Last updated
11/02/2023
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