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Deforrest Kwesi Jackson, CADC-1

Addiction (Substance Use Disorder) Counselor in Portland, OR · enumerated 2020 · practices at Another Chance Clinical Services LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194356618

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Registry record

Entity type Individual (Type 1)
Name Deforrest Kwesi Jackson
Credential CADC-1
Sex Male
Practice address 12670 Nw Barnes Rd Ste 200, Portland, OR, 97229
Phone (971) 232-3850
Enumeration date Feb 3, 2020
Last updated in NPPES Mar 3, 2022

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License T-20-047 (OR) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Deforrest Jackson?
The National Provider Identifier (NPI) for Deforrest Jackson is 1194356618, a Type 1 (individual) record in the CMS NPPES registry.
Where does Deforrest Jackson practice?
The practice location on file with NPPES is in Portland, OR. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-03.