CAROLINE N JACOBS PHD, APRN
NPI 1306158548
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Caroline Jacobs's NPI number?

The NPI number for Caroline Jacobs is 1306158548. It was assigned to this individual provider in the NPPES registry on July 3, 2010.

Q: What is Caroline Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Jacobs was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 03, 2010

4804 NW BETHANY BLVD, STE I-2, #142, PORTLAND, OR 97229(503) 332-6000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 5, 2017 and 1 more (4 updates tracked since 2017).

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About Caroline N Jacobs Phd, Aprn NPPES

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

CAROLINE N JACOBS PHD, APRN (NPI 1306158548) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Washington (AP60167711) and active in the NPI registry since July 2010. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1306158548

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCAROLINE N JACOBSCredential: PHD, APRN

Location Address4804 NW BETHANY BLVD, STE I-2, #142Portland, OR 97229

Mailing Address4804 Nw Bethany Blvd., Ste I-2, #142Portland, OR 97229 · (503) 332-6000

Phone(503) 332-6000

Sole ProprietorYes

Enumeration DateJuly 3, 2010

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1306158548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP60167711

4804 NW BETHANY BLVD, Portland, OR 97229

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Secondary Practice Location 1

Location 15170 NW Millstone WayPortland, OR 97229-1845 · Phone (503) 332-6000

Other Identifiers 2

Other0271524WA · Labor & Industries

Medicaid1306158548WA

Other Providers at the Same Location NPPES

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

FITNESS & FUNCTION LLC

Physical Therapist (Geriatrics)

4804 NW BETHANY BLVD, SUITE 12 #167
PORTLAND, OR 97229

Washington County (503) 267-1030

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 Caroline Jacobs's NPI number?

The NPI number for Caroline Jacobs is 1306158548. It was assigned to this individual provider in the NPPES registry on July 3, 2010.

Where is Caroline Jacobs located?

Caroline Jacobs practices at 4804 NW Bethany Blvd Ste I-2, #142, Portland, OR 97229. The listed phone number is (503) 332-6000.

What is Caroline Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Caroline Jacobs was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.