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

Mr. Jacob Carlisle Hostetter, CLINICALCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386187276

Mr. Jacob Carlisle Hostetter, CLINICALCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Dallas, Oregon. Works from 3 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

182 SW Academy St
Dallas, OR 97338-1996
Phone: (503) 623-9289
Show map & directions

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

Additional practice locations (2)

  • 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 97367-5000 — (541) 265-4196
  • 51 Sw Lee St, Newport, OR 97365-3823 — (541) 574-5960

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1386187276
Entity typeIndividual (Type 1)
GenderMale
Credentials CLINICALCOUNSELOR
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESSeptember 25, 2019

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