Lacey Jade Jackson

Peer Specialist · Saint Helens, OR

Individual Active NPI

NPI number 1033043468

Practice location

58147 Columbia River Hwy Ste C
Saint Helens, OR 97051-6229
Phone
(503) 396-5322

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NPI record

NPI
1033043468
Entity type
Individual (Type 1)
Enumeration date
June 10, 2026
Last updated
June 10, 2026
Certified
June 10, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Lacey Jackson

Lacey Jade Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051-6229. The NPI number 1033043468 was assigned on June 10, 2026 and the record was last updated on June 10, 2026.

Frequently asked questions

What is the NPI number of Lacey Jade Jackson?

The NPI number is 1033043468.

What is the phone number of Lacey Jackson?

The phone number listed for the practice location is (503) 396-5322.

Where is Lacey Jackson located?

58147 Columbia River Hwy Ste C, Saint Helens, OR 97051-6229.

What is the taxonomy code for Lacey Jackson?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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