Jake Daniel Harold

Peer Specialist · McMinnville, OR

Individual Active NPI

NPI number 1710416268

Practice location

625 NE Galloway St
McMinnville, OR 97128-3933
Phone
(503) 474-6816
Fax
(503) 474-7426

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NPI record

NPI
1710416268
Entity type
Individual (Type 1)
Enumeration date
June 8, 2017
Last updated
August 11, 2022
Certified
August 11, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —
Professional Counselor 101YP2500X — —

Mailing address

3945 SW 96TH Ave
Portland, OR 97225-2520
Phone
(951) 870-9910

About Jake Harold

Jake Daniel Harold is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 625 NE Galloway St, McMinnville, OR 97128-3933. The NPI number 1710416268 was assigned on June 8, 2017 and the record was last updated on August 11, 2022.

Frequently asked questions

What is the NPI number of Jake Daniel Harold?

The NPI number is 1710416268.

What is the phone number of Jake Harold?

The phone number listed for the practice location is (503) 474-6816.

Where is Jake Harold located?

625 NE Galloway St, McMinnville, OR 97128-3933.

What is the taxonomy code for Jake Harold?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

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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