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Joseph Myron Jacobus, CRM
Peer Specialist in Oregon City, Oregon
NPI 1316447253

Joseph Myron Jacobus is a Peer Specialist based in Portland, OR. Joseph Myron Jacobus practices in Oregon City, OR and has the professional credentials of CRM. The NPI Number for Joseph Myron Jacobus is 1316447253 and holds a License No. 17-CRM-118 (Oregon).

The current practice location address for Joseph Myron Jacobus is 900 Main St Ste 200, Oregon City, OR and can be reached out via phone at 971-386-3408. You can also correspond with Joseph Myron Jacobus through the mailing address at PO BOX 16756, PORTLAND, OR - 97292-0756 (mailing address contact number: ).

Location: 900 Main St Ste 200, Oregon City, OR, 97292-0756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316447253
Provider Name
Joseph Myron Jacobus
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
900 Main St Ste 200, Oregon City, OR, 97292-0756
Phone Number
971-386-3408
Fax Number
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Main St Ste 200
City
Oregon City
State
Oregon
Zip
97045-1869
Phone Number
971-386-3408
Fax Number
person
Provider Business Mailing Address Details
Address
900 Main St Ste 200
City
Oregon City
State
Oregon
Zip
97045-1869
Phone Number
971-386-3408
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
17-CRM-118 (Oregon)
Definition
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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