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

Jacob Ray

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528814902

Jacob Ray is an Addiction (Substance Use Disorder) Counselor in Coburg, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

1 Serenity Ln
Coburg, OR 97408-9350
Phone: (541) 366-6293
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-24-3929 (OR)

Record details

NPI number1528814902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024
Mailing address2924 Stark St, Eugene, OR 97404-1843

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