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

Jake Everett Backen, RVT

Individual provider Vascular Sonography Radiologic Technologist · NPI 1356932024

Jake Everett Backen, RVT is a Vascular Sonography Radiologic Technologist in San Antonio, Texas. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

415 W Lynwood Ave Apt 2
San Antonio, TX 78212-2239
Phone: (541) 680-2858
Show map & directions

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

Specialties & licences

Vascular Sonography Radiologic Technologist (primary) Taxonomy 2471V0105X · Licence 193402 (OR)

Record details

NPI number1356932024
Entity typeIndividual (Type 1)
GenderMale
Credentials RVT
Sole proprietorYes
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address415 W Lynwood Ave Apt 2, San Antonio, TX 78212-2239

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