Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawntae Jackson

Individual provider Personal Care Attendant · NPI 1558071399

Shawntae Jackson is a Personal Care Attendant in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Portland, OR

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Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1558071399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2022
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

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