Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN JACOBS
ActiveJUSTIN JACOBS is a Psychologist healthcare provider located in CLACKAMAS, Oregon. NPI 1801522420 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CLACKAMAS, OR
Registration Details
- NPI Number
- 1801522420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2022 (4.0129095072656 yrs)
- Last Updated
- Nov 29, 2024
- Licenses
-
R272 (OR)R272 (OR)
Practice Information
- Address
-
10151 SE SUNNYSIDE RD STE 480CLACKAMAS, OR, 970155705Browse OR providers · Browse ZIP 97015
- Phone
- 9719150046
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Case Manager
- Additional Specialty
- Psychologist
Other Psychologist Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DONALD G. DODSON | PH.D. | 1952403461 |
| PAUL SUNDSTROM | ED.D. | 1770623928 |
| DR. JAMES MATTHEW MOL | PH.D. | 1255755898 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.