Search › Oregon › 103TC0700X
Justin Jacobs
NPI 1801522420 · on the registry since 2022
Practice
- Address
- 10151 Se Sunnyside Rd Ste 480
Clackamas, OR 97015 - Phone
- (971) 915-0046
- Organisation at this address
- Active Recovery Tms Pllc
Rose City Pain Relief Llc
Miranda Physical Therapy P.C.
Eastmoreland Ear, Nose & Throat, Clinic, LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
101YM0800X
171M00000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-30
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