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NPI Profile for SERENA L JACKSON in CORVALLIS, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Art Therapist |
221700000X |
| NPI Number | 1871295816 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/21/2023 | |
| Last updated | 12/29/2025 - About 5 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SERENA L JACKSON
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| AERON A STAHELSKI, CADC R 404 NW 23RD STRRET CORVALLIS, OR |
| CORTNEY MADEIRA, MS ED/ CAS 4455 NE HIGHWAY 20 CORVALLIS, OR |
| REGHAN CORNELL 4455 NE HWY 20 CORVALLIS CORVALLIS, OR |
| JESSICA L STOUT, M.S. 4455 NE HIGHWAY 20 CORVALLIS, OR |
| MELISSA K SMALLEY 4455 NE HWY 20 CORVALLIS, OR |
| ANDIE M GAIPO 4455 NE HWY 20 - CHILDREN'S FARM HOME CORVALLIS, OR |
| MICHELLE N OSARA 565 UNION ST NE SALEM, OR |
| ANNA C STATTON, MA, QMHP 3180 CENTER ST NE SALEM, OR |
| VICTORIA WISDOM, MA, NCC, LPN, LPC 528 COTTAGE ST NE SALEM, OR |
| ROXANNE N CROSSLEY, LPC 1124 CORNUCOPIA ST. NW STE 100 SALEM, OR |
SERENA L JACKSON