DAVID JACOBUS
NPI 1174071153
Substance Abuse Rehabilitation Facility in Ontario, OR

Active since September 19, 2016
686 NW 9TH ST, ONTARIO, OR 97914(541) 889-9167 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Jacobus NPPES

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

DAVID JACOBUS (NPI 1174071153) is an individual substance abuse rehabilitation facility provider in Ontario, Oregon and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1174071153
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameDAVID JACOBUS
Location Address686 NW 9TH STOntario, OR 97914-1600
Mailing Address702 Sunset DrOntario, OR 97914-3121
Sole ProprietorYes
Enumeration DateSeptember 19, 2016
NPI 1174071153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

686 NW 9TH ST, Ontario, OR 97914

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.

Case Manager/Care Coordinator
686 NW 9TH ST
ONTARIO, OR 97914
Nurse's Aide
686 NW 9TH ST
ONTARIO, OR 97914
Substance Abuse Rehabilitation Facility
686 NW 9TH ST
ONTARIO, OR 97914
Case Manager/Care Coordinator
686 NW 9TH ST
ONTARIO, OR 97914
Nurse's Aide
686 NW 9TH ST
ONTARIO, OR 97914
Case Manager/Care Coordinator
686 NW 9TH ST
ONTARIO, OR 97914
Counselor
686 NW 9TH ST
ONTARIO, OR 97914
Case Manager/Care Coordinator
686 NW 9TH ST
ONTARIO, OR 97914

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 David Jacobus's NPI number?

The NPI number for David Jacobus is 1174071153. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is David Jacobus located?

David Jacobus practices at 686 NW 9th St, Ontario, OR 97914. The listed phone number is (541) 889-9167.

What is David Jacobus's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for David Jacobus was last updated on September 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.