Individual
RAYMOND THOMAS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4445 S BARBUR BLVD STE 205, PORTLAND, OR 97239-4047
(503) 768-6325
Mailing address
4445 S BARBUR BLVD STE 205, PORTLAND, OR 97239-4047
(503) 768-6325
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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