IndividualActive
Jack White, CRM , THW
NPI 1407578891 · Peer Specialist · Coos Bay, OR
Jack White, CRM , THW is a Peer Specialist provider in Coos Bay, OR (NPI 1407578891).
Provider details
- NPI number
- 1407578891
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CRM , THW
- Sex
- Male
- Sole proprietor
- No
- License
- 22-CRM-1099 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1741 Newmark Ave
Coos Bay, OR 97420-4704
Phone: (541) 851-7151
Street-level locationGet directions
Mailing address
155 S Empire Blvd
Coos Bay, OR 97420-3374
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Frequently asked questions
- What is Jack White's NPI number?
- Jack White's National Provider Identifier (NPI) is 1407578891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack White's specialty?
- Jack White is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jack White located?
- Jack White's practice location on file with NPPES is 1741 Newmark Ave, Coos Bay, OR 97420-4704.
- What is Jack White's phone number?
- The practice phone number listed in the NPPES registry for Jack White is (541) 851-7151.
- Is Jack White's NPI active?
- Yes — Jack White's NPI (1407578891) is active in the NPPES registry as of the last update on 2022-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.