Individual provider · Type 1 NPI

Jacob Needham, BA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1992153522 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Call (503) 535-1150 Map

Fax (503) 535-1191

Mailing address

PO Box 3007
Portland, OR 97208-3007

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992153522

Jacob Needham, BA's National Provider Identifier is 1992153522, issued on May 24, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on May 24, 2016.