Rachel K Jackson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD200955 Issued in OR

Practice address

1880 SW 6TH Ave Ste 200
Portland, OR 97201-5204

Phone

(503) 725-2800

Fax

(503) 725-5812

NPI assigned

May 5, 2017

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Washington School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outside inGroup PAC ID 9638256662, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rjackson377160@direct.ochin.org
• Direct secure messaging: rjackson802875@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1477005619
  Medicare reassignment Care Compare group NPD
• Multnomah County

  dba Multnomah County Health Dept, North Portland

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1609914787
  Medicare reassignment NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1912322074
  NPD
• Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1063230480
  NPD
• Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1275280729
  NPD
• Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1568401347
  NPD (past)
• Outside in

  dba Non Profit

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1972124196

  Family Medicine

  NPD (past)
• Portland State University Center for Student Health and Counseling

  • Student Health Clinic/Center
  • Portland, OR
  • NPI 1215072228
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1831625011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SW 6TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015204",
            "telephone_number": "503-725-2800",
            "fax_number": "503-725-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SW 6TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015204",
            "telephone_number": "503-725-2800",
            "fax_number": "503-725-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RACHEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD200955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022959",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Marie Jackson
• Nicole Jackson
• Patricia Louise Jackson, RN
• Peter Jackson, M.D.
• Rachael Alexis Jackson, MS, MSW, LCSW
• Rachel M. Jackson, BEHAVIOR ANALYST
• Raymond Thomas Jackson
• Robin Naumann Jackson, CCC-SLP
• Robyn Yolanda Jackson
• Shanean L Jackson

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.