Jacob Smith
Peer Specialist in Oregon City, OR. Individual provider (NPI-1).
NPI number1265314751
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1265314751
- Entity type
- Individual (NPI-1)
- Name
- Jacob Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
900 Main St Ste 200Oregon City, OR 97045-1869
Phone 503-465-2749
Mailing address
Po Box 16576Portland, OR 97292-0576
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 48 Peer Specialist providers in Oregon City · All 1,780 providers in Oregon City
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