Justin Jacobs

NPI #1801522420 in Clackamas, Oregon

Provider Information

NPI Number: 1801522420
Entity Type: Individual
Name: Justin Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Jul 26, 2022
Last Updated: Nov 29, 2024

Practice Location

Address: 10151 SE SUNNYSIDE RD STE 480
City: Clackamas
State: Oregon
ZIP Code: 97015-5705
Phone: (971) 915-0046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X
Case Manager/Care Coordinator	171M00000X
Psychologist	103T00000X	Primary

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