Individual provider · Type 1 NPI

Jacob Hurner

Student in an Organized Health Care Education/Training Program · Gresham, OR

NPI number 1902715451 Active

Practice location

4101 NE Division St
Gresham, OR 97030-4617

Call (503) 666-3808 Map

Mailing address

4101 NE Division St Ste 100
Gresham, OR 97030-4617

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902715451

Jacob Hurner's National Provider Identifier is 1902715451, issued on Sep 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gresham, OR. The record was last updated on Sep 2, 2026.