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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSE ROBERTSON
NPI 1114880481
Counselor - Addiction (Substance Use Disorder) in Medford, OR

Active since December 04, 2025
300 W MAIN ST, MEDFORD, OR 97501(541) 772-1777 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2026, Dec 4, 2025 (2 updates tracked since 2025).

About Jesse Robertson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE ROBERTSON (NPI 1114880481) is an individual addiction (substance use disorder) provider in Medford, Oregon, licensed in Oregon (25-CRM-5042) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1114880481
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJESSE ROBERTSON
Location Address300 W MAIN STMedford, OR 97501-2756
Mailing Address300 W Main StMedford, OR 97501-2756 · (541) 772-1777 · Fax (541) 724-2410
Phone(541) 772-1777
Sole ProprietorNo
Enumeration DateDecember 4, 2025
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1114880481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 25-CRM-5042
300 W MAIN ST, Medford, OR 97501
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOSHANNA NOELLE LANE
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MISS BRENDA PALOMERA
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MONICA BOONE
Technician, Health Information
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-4648
JOSUE R GUERRERO CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
CODY J DOLLARHIDE
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
SHERRI LEE LANDRENEAU CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (547) 772-1777
ARCHANA N SUNDAR
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 237-5059
KAYLA LUSK
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 200-2414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Robertson's NPI number?

The NPI number for Jesse Robertson is 1114880481. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Where is Jesse Robertson located?

Jesse Robertson practices at 300 W Main St, Medford, OR 97501. The listed phone number is (541) 772-1777.

What is Jesse Robertson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jesse Robertson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.