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

Jacob Keith Bassen

Individual provider Mental Health Counselor · NPI 1790336220

Jacob Keith Bassen is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

811 NW 20th Ave
Portland, OR 97209-1443
Phone: (503) 807-3917
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1790336220
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESSeptember 25, 2019

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