IndividualActive
Jacob Ross, RN
NPI 1073405692 · Psychiatric/Mental Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1073405692
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 10047225 (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
3710 Sw US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (503) 273-5049
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19112
Portland, OR 97280-0112
Registry dates
- Enumerated
- 2025-07-17
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.