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

Jack Kaczmarek

Individual provider Psychiatry Physician · NPI 1679547384

Jack Kaczmarek is a Psychiatry Physician in Newport, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

36 SW Nye St
Newport, OR 97365-3821
Phone: (541) 265-4179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 9734 (OR)

Record details

NPI number1679547384
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJuly 8, 2010
Mailing address111 Fred Taylor Rd, Siletz, OR 97380-9708

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