- Practice location
- 8915 SW Center St, Tigard, OR 97223-6307
- Phone
- 503-726-3698
- Fax
- —
- Last updated
- October 16, 2013
Jake Antonini is a Counselor, Mental Health based in Tigard, OR. Jake Antonini practices in Tigard, OR. The NPI Number for Jake Antonini is 1063840700. The current practice location address for Jake Antonini is 8915 SW Center St, Tigard, OR 97223-6307 and can be reached out via phone at 503-726-3698.
Provider Profile Details
- NPI Number
- 1063840700
- Provider Name
- Jake Antonini
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 8915 SW Center St, Tigard, OR 97223-6307
- Phone Number
- 503-726-3698
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 16, 2013
- Last Update Date
- October 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8915 SW Center St
Tigard, OR 97223-6307 - City
- Tigard
- State
- Oregon
- Zip
- 97223-6307
- Phone Number
- 503-726-3698
Provider Business Mailing Address Details
- Address
- 8915 SW Center St
Tigard, OR 97223-6307 - City
- Tigard
- State
- OR
- Zip
- 97223-6307
- Phone Number
- 503-726-3698
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Tigard, OR
View all Counselor, Mental Health providers in Tigard →- Adam J CostaCounselor, Mental Health · NPI 1639765084
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adrian BacherCounselor, Mental Health · NPI 1437026614
- Adry S Clark, PHDCounselor, Mental Health · NPI 1861374258
- Afton L DaebneyCounselor, Mental Health · NPI 1063237717
Frequently Asked Questions
What is the NPI number of Jake Antonini?
The NPI number of Jake Antonini is 1063840700. It was assigned on October 16, 2013 and is currently active in the NPPES registry.
What is the specialty of Jake Antonini?
Jake Antonini is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jake Antonini practice?
The practice location is 8915 SW Center St, Tigard, OR 97223-6307. The office can be reached at 503-726-3698 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063840700 directly on the NPPES registry website.