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

Marissa Rae Jacobson

Individual provider Peer Specialist · NPI 1184432148

Marissa Rae Jacobson is a Peer Specialist in Fossil, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

401 Fourth St
Fossil, OR 97830-8302
Phone: (541) 763-2746
Fax: (541) 763-2170
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1184432148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing addressPo Box 469, Heppner, OR 97836-0469

Other providers in Fossil