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

Jacob Ryan Stewart, PSS

Individual provider Peer Specialist · NPI 1588408991

Jacob Ryan Stewart, PSS is a Peer Specialist in Coos Bay, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

377 Laclair St
Coos Bay, OR 97420-4709
Phone: (541) 756-2057
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 111202 (OR)

Record details

NPI number1588408991
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorYes
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

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