Individual
MRS. RACHAEL ALEXIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MSW, LCSW
Contact information
Practice address
8401 NE HALSEY ST STE 107, PORTLAND, OR 97220-5670
(503) 998-3584
Mailing address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L10943
OR
1041C0700X
Clinical Social Worker
Primary
115304
TX
1041C0700X
Clinical Social Worker
L10943
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/23/2012
Last updated
07/25/2025
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