SearchOregon101YM0800X

Mikel Jacobo, QMHA

NPI 1699659409 · on the registry since 2025

Practice

Address
770 E 11th Ave Fl 2
Eugene, OR 97401
Phone
(458) 205-7085
Fax
(458) 205-7089
Organisation at this address
Peacehealth
Peacehealth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Additional practice sites

  • 1200 Hilyard St Ste 310, Eugene, OR

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon