JOSEPH MYRON JACOBUS


Address: 900 Main St Ste 200, Oregon City, OR 97045-1869
Phone: 9713863408

JOSEPH MYRON JACOBUS (NPI# 1316447253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316447253
Entity Type Individual
Full Name JOSEPH MYRON JACOBUS
Credential CRM
Practice Address 900 Main St Ste 200
Oregon City
OR 97045-1869
Mailing Address Po Box 16756
Portland
OR 97292-0756
Practice Telephone 9713863408
Enumeration Date 2018-02-16
Last Update Date 2018-02-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 17-CRM-118 OR Other Service Providers

Office Location

Street Address 900 MAIN ST STE 200
City OREGON CITY
State OR
Zip Code 97045-1869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043464399 Michele Anne Bradfute Counselor 900 Main St Ste 200, Oregon City, OR 97045-1869 2008-11-13
1700484409 Tina Berglund Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2020-10-14
1659988814 Trista Kildow Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2020-09-30
1497387096 Shayna Pukini Counselor 900 Main St Ste 200, Oregon City, OR 97045-1869 2020-02-11
1336708106 Anthony Lewis Case Manager/Care Coordinator 900 Main St Ste 200, Oregon City, OR 97045-1869 2019-06-06
1386201416 Cory Dean Tucker Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2019-05-23
1841762077 Jeremiah Rider Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2018-12-28
1669944583 Megan Marie Allen Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2018-12-18
1881173888 Danny Trevitts Counselor 900 Main St Ste 200, Oregon City, OR 97045-1869 2018-08-09
1447756523 Ron Maudsley Counselor 900 Main St Ste 200, Oregon City, OR 97045-1869 2018-04-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528625621 Dylan Wile Physical Therapist 19721 Or 213, Oregon City, OR 97045 2019-05-23
1952871576 April Saylor Dental Hygienist 15530 S. Morel Dr, Oregon City, OR 97045 2018-11-27
1598251688 Sara Noelle Wetten Dental Assistant 1900 Mclouglin Blvd #68, Oregon City, OR 97045 2018-07-02
1649761941 Carol Ann Cranfill Specialist 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 2018-05-22
1790286029 Kathleen Walker Registered Nurse 110 Beaverceek Rd., Oregon City, OR 97045 2018-02-22
1174032429 Amanda Brannin Dental Hygienist 15018 Pebble Beach Dr, Oregon City, OR 97045 2017-09-28
1003332669 Clackamas Medical Supplies Durable Medical Equipment & Medical Supplies 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 2017-08-16
1154870129 Staci S Meador Nurse Practitioner 1508 Division St Ste 200, Oregon City, OR 97045 2016-10-01
1821541939 Samuel R. Sabo General Practice 18171 Waldow Rd., Oregon City, OR 97045 2016-07-26
1619339967 Carly Chambers Physical Therapist 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 2016-03-25
Find all providers in zip 97045

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518565191 Katie Spear Peer Specialist 900 Main St, Oregon City, OR 97045-1834 2020-10-15
1700484409 Tina Berglund Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2020-10-14
1659988814 Trista Kildow Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2020-09-30
1811528193 Angelina Starr Sloan Peer Specialist 112 Beavercreek Rd, Oregon City, OR 97045-4302 2020-01-27
1386274041 Robert Speck Peer Specialist 900 Main St, Oregon City, OR 97045-1834 2020-01-22
1386201416 Cory Dean Tucker Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2019-05-23
1841762077 Jeremiah Rider Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2018-12-28
1669944583 Megan Marie Allen Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2018-12-18
1699276550 Paul Modesitt Peer Specialist 900 Main St Ste 200, Oregon City, OR 97045-1869 2018-02-26
1255840856 Melinda Brummett Peer Specialist 2051 Kaen Rd, Oregon City, OR 97045-4035 2017-09-26
Find all providers in OREGON CITY

Competitor

Search similar providers

City OREGON CITY
Zip Code 97045

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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