Andrea Marie Jackson, PHD
Psychologist · Creswell, OR
Practice location
170 Melton RdCreswell, OR 97426-9453
- Phone
- (541) 306-6456
NPI record
- NPI
- 1194255877
- Entity type
- Individual (Type 1)
- Enumeration date
- June 15, 2017
- Last updated
- October 30, 2024
- Certified
- October 30, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
3120 | OR |
Other practice locations (1)
- 534 Pleasant View Way NW Ste 200, Albany, OR 97321-1789 · (541) 812-5760
About Dr. Jackson
Andrea Marie Jackson, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 170 Melton Rd, Creswell, OR 97426-9453. The NPI number 1194255877 was assigned on June 15, 2017 and the record was last updated on October 30, 2024.
Dr. Jackson lists a license in the registry: #3120 (OR) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Andrea Marie Jackson, PHD?
The NPI number is 1194255877.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (541) 306-6456.
Where is Dr. Jackson located?
170 Melton Rd, Creswell, OR 97426-9453.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 103T00000X – Psychologist.
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.