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1629471289
MICHELLE JACKSON
PORTLAND, OR
NPI
1629471289
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Former Name
MICHELLE HALLISEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: OR 1034297)
Enumeration Date
2014-09-26
Last Update Date
2024-06-11
Business Address
MICHELLE JACKSON M.S., OTR/L
501 N DIXON ST
PORTLAND, OR 97227-1876
Phone number: 530-423-5135
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Mailing Address
MICHELLE JACKSON M.S., OTR/L
501 N DIXON ST
PORTLAND, OR 97227-1876
Phone number: 503-916-2000
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