Individual provider · Type 1 NPI

Joseph Myron Jacobus, CRM

Peer Specialist · Oregon City, OR

NPI number 1316447253 Active

Practice location

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

Call (971) 386-3408 Map

Mailing address

PO Box 16756
Portland, OR 97292-0756

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X17-CRM-118 (OR)

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 1316447253

Joseph Myron Jacobus, CRM's National Provider Identifier is 1316447253, issued on Feb 16, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oregon City, OR. The record was last updated on Feb 16, 2018.