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

Jacqueline Petrovic

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760053086

Jacqueline Petrovic is an Addiction (Substance Use Disorder) Counselor in Bend, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1900 NE Division St Ste 201
Bend, OR 97701-3572
Phone: (541) 516-6330
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1760053086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

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