Jacob Vining

Peer Specialist · The Dalles, OR

Individual Active NPI

NPI number 1578300810

Practice location

1060 Webber St
The Dalles, OR 97058-3749
Phone
(541) 296-5452
Fax
(541) 296-5263

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NPI record

NPI
1578300810
Entity type
Individual (Type 1)
Enumeration date
July 12, 2024
Last updated
December 10, 2024
Certified
December 10, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 112574 OR

About Jacob Vining

Jacob Vining is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1060 Webber St, The Dalles, OR 97058-3749. The NPI number 1578300810 was assigned on July 12, 2024 and the record was last updated on December 10, 2024.

Jacob Vining lists a license in the registry: #112574 (OR) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Vining?

The NPI number is 1578300810.

What is the phone number of Jacob Vining?

The phone number listed for the practice location is (541) 296-5452.

Where is Jacob Vining located?

1060 Webber St, The Dalles, OR 97058-3749.

What is the taxonomy code for Jacob Vining?

The primary taxonomy code is 175T00000X – Peer Specialist.

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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