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

Jason Cornutt

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669205159

Jason Cornutt is an Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
2

Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 672-2691
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 23-CRM-2530 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (OR)

Record details

NPI number1669205159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

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