ANDREA JACKSON (LAC) – Acupuncturist, NPI 1518000140

ANDREA JACKSON (LAC) is a healthcare provider. based in Vancouver, Washington. specializing in Acupuncturist. They hold the professional credentials LAC. They hold a License No. AC01036 (OR). The NPI Number for ANDREA JACKSON (LAC) is 1518000140

Main info

Female
Sole Proprietor
Name
ANDREA JACKSON (LAC)
NPI
1518000140
Phone
(503) 545-2393
Address
2005 SE 159TH PL
Enumeration Date
14 February 2007
Last Update Date
8 July 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ANDREA JACKSON (LAC)

  • 2005 SE 159TH PL

    VANCOUVER, WA 986834406

    Phone: (503) 545-2393

    Type: Mailing

  • 33 NE KELLY AVE

    GRESHAM, OR 970307539

    Phone: (503) 545-2393

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98683)

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Reviews

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Frequently asked questions

What federal number belongs to ANDREA JACKSON (LAC)?
The federal identifier for ANDREA JACKSON (LAC) is NPI 1518000140.
Is ANDREA JACKSON (LAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ANDREA JACKSON (LAC) work in?
You can think of ANDREA JACKSON (LAC) as practicing within Acupuncturist. Clinical services aligned with this taxonomy classification.
Does ANDREA JACKSON (LAC) practice in Washington?
You will see Vancouver, Washington on file for ANDREA JACKSON (LAC) alongside any extra practice locations.
How can I contact ANDREA JACKSON (LAC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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