DR. PAMELA S JACOBS (NPI# 1366462418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366462418 |
| Entity Type | Individual |
| Full Name | DR. PAMELA S JACOBS |
| Credential | PHD |
| Practice Address |
15 N Morris St Portland OR 97227-1541 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 5032309875 |
| Practice Fax Number | 5032309877 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1142 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500655828 | 05 | |
| WA | 2025952 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12360 E Burnside St, Portland, OR 972331042 | 9712794800 | 9712792051 |
| 1631 Sw Columbia St, Portland, OR 972016025 | 5032312641 | 5032311654 |
| 1310 Sw 17th Ave, Portland, OR 972012522 | 5032312641 | 5034674077 |
| 17645 Nw Saint Helens Rd, Portland, OR 972311729 | 5036211069 | 5036210200 |
| 1438 Se Division St, Portland, OR 972021140 | 5035480346 | 5032325959 |
| 1776 Sw Madison St, Portland, OR 972051715 | 5032241044 | 5036212235 |
| 620 Ne 2nd St, Gresham, OR 970307514 | 9712743757 | 5039125740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116927 | Pamela Joann Jacobs | Family Medicine | 77 Westwood Rd, Lancaster, NY 14086-9522 | 2019-07-23 |
| 1265739320 | Pamela Jacobs | Marriage & Family Therapist | 337 W Mission Ave, Escondido, CA 92025-1729 | 2011-02-24 |
| 1073649026 | Pamela Ravin Jacobs | Psychologist | Albert Einstein College of Medicine-cerc, 1165 Morris Park Ave., Bronx, NY 10461 | 2007-02-26 |
| 1346520061 | Pamela Sue Jacobs | Pharmacist | 1900 W State St, Fremont, OH 43420-1638 | 2011-08-25 |
| 1578750956 | Pamela M Jacobs | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2007-09-28 |
| 1124055983 | Pamela J Jacobs | Pediatrics | 3 E Lee St, Baltimore, MD 21202-6000 | 2006-06-27 |
| 1326044918 | Pamela Rice Jacobs | Nurse Practitioner | 1623 13th Ave, Huntington, WV 25701-3845 | 2005-06-28 |
| Street Address |
15 N MORRIS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174915 | Joanne Rosalyn Claire Richardson-tollerton | Family Medicine | 15 N Morris St, Portland, OR 97227-1541 | 2005-06-14 |
| 1063050540 | Jessica M Burgess | Dietitian, Registered | 15 N Morris St, Portland, OR 97227-1541 | 2019-12-16 |
| 1194292011 | Brennan J Crowe | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2018-10-29 |
| 1295225308 | Angel N Two Bulls | Counselor | 15 N Morris St, Portland, OR 97227 | 2018-05-14 |
| 1851808604 | Laurie A Rieschel | Counselor | 15 N Morris St, Portland, OR 97227-1541 | 2018-01-02 |
| 1720528037 | Kellen J Kjera | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-03-06 |
| 1578000576 | Francis A Tootell | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-01-27 |
| 1265979918 | Dino Brozan | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-01-19 |
| 1528514882 | Mark A Seiffert | Pharmacist | 15 N Morris St, Portland, OR 97227-1541 | 2016-08-28 |
| 1912453275 | Catherine A Fry | Pharmacy Technician | 15 N Morris St, Portland, OR 97227-1541 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.