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

Jake D Mathis

Individual provider Peer Specialist · NPI 1265173959

Jake D Mathis is a Peer Specialist in Newport, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

547 SW 7th St
Newport, OR 97365-4909
Phone: (541) 574-9570
Fax: (541) 574-8857
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 21-CRM-676 (OR)

Record details

NPI number1265173959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateFebruary 10, 2022
Mailing addressPo Box 1538, Newport, OR 97365-0115

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