Individual
RACHEL K JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1880 SW 6TH AVE STE 200, PORTLAND, OR 97201-5204
(503) 725-2480
(503) 725-5812
Mailing address
1880 SW 6TH AVE STE 200, PORTLAND, OR 97201-5204
(503) 725-2800
(503) 725-5812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD200955
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OK
Enumeration date
05/05/2017
Last updated
04/16/2026
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