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

Jacob Travis Waldron

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902765118

Jacob Travis Waldron is a Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

2043 College Way
Forest Grove, OR 97116-1797
Phone: (503) 352-2020
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OR)

Record details

NPI number1902765118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address18710 Miami Foley Rd, Bay City, OR 97107-9709

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