Individual
ROBIN NAUMANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(503) 802-5318
Mailing address
16085 SW DAVIS RD, BEAVERTON, OR 97007-4071
(503) 848-5604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011910
OR
Other
Enumeration date
06/29/2007
Last updated
03/18/2021
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