Jake Sanders

Psychologist · Gresham, OR

Individual Active NPI

NPI number 1467138446

Practice location

2222 East Powell Boulevard
Gresham, OR 97080
Phone
(503) 669-4300

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NPI record

NPI
1467138446
Entity type
Individual (Type 1)
Enumeration date
June 26, 2023
Last updated
April 6, 2026
Certified
April 6, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X ORR305 OR

Mailing address

15900 SW 76TH Ave
Tigard, OR 97224-7116
Phone
(503) 968-8059

About Jake Sanders

Jake Sanders is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 2222 East Powell Boulevard, Gresham, OR 97080. The NPI number 1467138446 was assigned on June 26, 2023 and the record was last updated on April 6, 2026.

Jake Sanders lists a license in the registry: #ORR305 (OR) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jake Sanders?

The NPI number is 1467138446.

What is the phone number of Jake Sanders?

The phone number listed for the practice location is (503) 669-4300.

Where is Jake Sanders located?

2222 East Powell Boulevard, Gresham, OR 97080.

What is the taxonomy code for Jake Sanders?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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