Tyler Alana Jackson
Case Manager/Care Coordinator in Troutdale, OR. Individual provider (NPI-1).
NPI number1538997366
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1538997366
- Entity type
- Individual (NPI-1)
- Name
- Tyler Alana Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2024
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | J25080199625 | IL | Yes |
Practice location
121 E Historic Columbia River HwyTroutdale, OR 97060-2006
Phone 971-293-9237
Mailing address
121 E Historic Columbia River HwyTroutdale, OR 97060-2006
Phone 214-934-4344
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All 17 Case Manager/Care Coordinator providers in Troutdale · All 185 providers in Troutdale
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