Individual provider · Type 1 NPI

Jacob Smith

Peer Specialist · Oregon City, OR

NPI number 1265314751 Active

Practice location

900 Main St Ste 200
Oregon City, OR 97045-1869

Call (503) 465-2749 Map

Mailing address

PO Box 16576
Portland, OR 97292-0576

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1265314751

Jacob Smith's National Provider Identifier is 1265314751, issued on Jul 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oregon City, OR. The record was last updated on Jul 24, 2025.