Individual provider · Type 1 NPI

Jacob Ross, RN

Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1073405692 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Mailing address

PO Box 19112
Portland, OR 97280-0112

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X10047225 (OR)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1073405692

Jacob Ross, RN's National Provider Identifier is 1073405692, issued on Jul 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 17, 2025.