Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob E. Creviston, DNP, RN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1528460813

Dr. Jacob E. Creviston, DNP, RN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1308 NW 20th Ave Ste 8
Portland, OR 97209-1607
Phone: (971) 213-5986
Fax: (503) 405-8124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201405518NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 200841169RN (OR)

Record details

NPI number1528460813
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , RN , PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 18, 2014
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

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