Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan Michael Blacktop, PHD

Individual provider Case Manager/Care Coordinator · NPI 1225759566

Dr. Jordan Michael Blacktop, PHD is a Case Manager/Care Coordinator in Coos Bay, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

281 Laclair St
Coos Bay, OR 97420-2988
Phone: (541) 266-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1225759566
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address281 Laclair St, Coos Bay, OR 97420-2988

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