Individual provider · Type 1 NPI

Thomas Larue Jacobs, ARNP

Nurse Practitioner · St. Helens, OR

NPI number 1790201598 Active

Practice location

475 S Columbia River Hwy Ste 105
St. Helens, OR 97051-2860

Mailing address

29134 Old Rainier Rd
Rainier, OR 97048-2300

Other practice locations

  • 400 NE Mother Joseph Pl, Vancouver, WA 98664-3200 · (360) 514-2000
  • Encore Wellness 4 Life 135 Vista Way, Suite E, Kennewick, WA 99336-3200 · (509) 987-1099
  • Encore Wellness 4 Life 1890 7th St, Umatilla, OR 97882-3200 · (541) 922-1750
  • Noc Medical Clinic, 12 Acre Pad, Oliktok Road, Prudhoe Bay, AK 99734-0000 · (907) 685-1420

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP60785555 (WA)
Family Nurse Practitioner 363LF0000X153353 (AK)
Family Nurse Practitioner 363LF0000X201707769NP-PP (OR)
Nurse Practitioner Primary 363L00000X201707769NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790201598

Thomas Larue Jacobs, ARNP's National Provider Identifier is 1790201598, issued on Aug 14, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Helens, OR. The record was last updated on Feb 17, 2020.