Jacob Smith

NPI #1265314751 in Oregon City, Oregon

Provider Information

NPI Number: 1265314751
Entity Type: Individual
Name: Jacob Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 24, 2025
Last Updated: Jul 24, 2025

Practice Location

Address: 900 MAIN ST STE 200
City: Oregon City
State: Oregon
ZIP Code: 97045-1869
Phone: (503) 465-2749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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