Active NPI
Courtney Brooke Jackson, N.D.
- Naturopath
- Portland, OR
National Provider Identifier
1689824302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1631
- Practice address
- 501 N Graham St Ste 550
Portland, OR 97227-2010 - Phone
- (503) 284-5220
- Fax
- (503) 284-4971
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1631 | OR | Primary |
Addresses
Primary practice location
501 N Graham St Ste 550
Portland, OR 97227-2010
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other practice location 1
511 SW 10th Ave Ste 801
Portland, OR 97205-2709
Phone (503) 230-8973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500713028 | Medicaid | OR | |
| 2231959 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cc_otoc_obgyn_north_front_desk_pool12223217@oc.providencedirect.org | The Oregon Clinic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1631 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic PC | Past | Accepting new patients |
Interoperability endpoints
- cjackson3166823@oc.providencedirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Portland, OR
- NPI 1265417174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1689824302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST STE 550",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972272010",
"telephone_number": "503-284-5220",
"fax_number": "503-284-4971"
}
],
"practiceLocations": [
{
"address_1": "511 SW 10th Ave Ste 801",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972052709",
"country_code": "US",
"telephone_number": "503-230-8973",
"fax_number": "503-230-8978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "COURTNEY",
"middle_name": "BROOKE",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500713028",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2231959",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cc_otoc_obgyn_north_front_desk_pool12223217@oc.providencedirect.org",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "501 N Graham St Ste 550",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972272010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.