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

Kimberly Ann Jacoby, PNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1821347311

Kimberly Ann Jacoby, PNP-PC is a Pediatric Nurse Practitioner in Oregon City, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012

Practice location Address checks out

1425 Beavercreek Rd
Oregon City, OR 97045-4023
Phone: (503) 655-8471
Fax: (503) 655-8595
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 202100947NP-PP (OR)

Record details

NPI number1821347311
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-PC
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

Other providers in Oregon City