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

Jacob Vining

Individual provider Peer Specialist · NPI 1578300810

Jacob Vining is a Peer Specialist in The Dalles, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

1060 Webber St
The Dalles, OR 97058-3749
Phone: (541) 296-5452
Fax: (541) 296-5263
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 112574 (OR)

Record details

NPI number1578300810
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address1060 Webber St, The Dalles, OR 97058-3749

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