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

Susan E Jacoby, MSLPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184089161

Susan E Jacoby, MSLPC is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015

Practice location Address checks out

5228 NE Hoyt St
Portland, OR 97213-3055
Phone: (503) 215-1612
Fax: (503) 215-6477
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 · Licence LPC C0924 (OR)

Record details

NPI number1184089161
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSLPC
Sole proprietorYes
NPI enumeratedDecember 17, 2015
Last updated in NPPESDecember 17, 2015

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