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

Jacob R Kaufman, DMD

Individual provider Dentist · NPI 1134732100

Jacob R Kaufman, DMD is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12596 SE Stark St Bldg N
Portland, OR 97233-1056
Phone: (503) 252-9657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11315 (OR)

Record details

NPI number1134732100
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020

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