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JACOB DAVID STARK
NPI 1225863897
Counselor - Mental Health in Portland, OR

Active since September 04, 2024
10373 NE HANCOCK ST STE 200, PORTLAND, OR 97220(503) 253-6754 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob David Stark NPPES

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

JACOB DAVID STARK (NPI 1225863897) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1225863897
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB DAVID STARK
Location Address10373 NE HANCOCK ST STE 200Portland, OR 97220-3873
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 253-6754
Sole ProprietorNo
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1225863897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10373 NE HANCOCK ST STE 200, Portland, OR 97220
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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.

EVELYN REESE ACOPAN MA
Counselor (Mental Health)
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754
MISS CYNTHIA ROSAURA VIDES-GUERRA
Case Manager/Care Coordinator
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754
MISS JENNIFER L HOLLAND PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754
SETH BARON
Counselor (Mental Health)
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754
CHRISTINE WHALEY
Counselor (Addiction (Substance Use Disorder))
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754
CASCADIA BEHAVIORAL HEALTHCARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754
JOELLE Y MCKNIGHT
Case Manager/Care Coordinator
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754
DASHA WILLIAMS
Registered Nurse
10373 NE HANCOCK ST STE 200
PORTLAND, OR 97220
Multnomah County (503) 253-6754

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 Jacob Stark's NPI number?

The NPI number for Jacob Stark is 1225863897. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Jacob Stark located?

Jacob Stark practices at 10373 NE Hancock St Ste 200, Portland, OR 97220. The listed phone number is (503) 253-6754.

What is Jacob Stark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Stark was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.