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

Jacob Miller

Individual provider Family Nurse Practitioner · NPI 1902619778

Jacob Miller is a Family Nurse Practitioner in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 804-1823
Show map & directions

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

Additional practice locations (1)

  • 1125 Nw 9th Ave Apt 108, Portland, OR 97209-2865 — (503) 896-1445

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10064246 (OR)

Record details

NPI number1902619778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

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