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

Justin Jacobs

Individual provider Clinical Psychologist · NPI 1801522420

Justin Jacobs is a Clinical Psychologist in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022
Specialties on file
4

Practice location Address checks out

10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705
Phone: (971) 915-0046
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4321 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence R272 (OR)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1801522420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address10151 Se Sunnyside Rd Ste 480, Clackamas, OR 97015-5705

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