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

Mr. Jacob James Henderson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528697596

Mr. Jacob James Henderson is an Addiction (Substance Use Disorder) Counselor in Medford, Oregon. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

777 Murphy Rd
Medford, OR 97504-8425
Phone: (541) 772-2763
Fax: (541) 734-3164
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1528697596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020
Mailing address777 Murphy Rd, Medford, OR 97504-8425

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