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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.

JARED ROBERT PETTIT
NPI 1407604374
Counselor - Addiction (Substance Use Disorder) in Estacada, OR

Active since May 07, 2024
380 NW 6TH AVE, ESTACADA, OR 97023(503) 395-0435 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, May 7, 2024 (2 updates tracked since 2024).

About Jared Robert Pettit NPPES

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

JARED ROBERT PETTIT (NPI 1407604374) is an individual addiction (substance use disorder) provider in Estacada, Oregon, licensed in Oregon (26-08-12016) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1407604374
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJARED ROBERT PETTIT
Location Address380 NW 6TH AVEEstacada, OR 97023-7713
Mailing Address18600 Se Mcloughlin BlvdMilwaukie, OR 97267-6723 · (503) 946-3267
Phone(503) 395-0435
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1407604374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OR · 26-08-12016✔ Licensed in WA · CDPT.CO.70090940
Also ListedPeer SpecialistTaxonomy 175T00000X
380 NW 6TH AVE, Estacada, OR 97023
Open in Google Maps ↗

Other Names 1

Former Name (1)Jared Snyder

Other Providers at the Same Location NPPES 9

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

JUSTIN RYE
Counselor (Addiction (Substance Use Disorder))
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (503) 395-0435
KIM MARIE VAN EATON CADC I, CRM, QMHA
Counselor (Addiction (Substance Use Disorder))
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (877) 302-7149
PATRICIA ZINK
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (503) 395-0435
ADRIAN BAUTISTA
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (503) 395-0435
JAMES MILLER
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (503) 395-0436
KARLA M TUEL
Counselor (Addiction (Substance Use Disorder))
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (503) 395-0435
JAMISON BRYANT
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (503) 395-0435
TEESA TWOMOONS CRM
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Clackamas County (971) 255-0658

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 Jared Pettit's NPI number?

The NPI number for Jared Pettit is 1407604374. It was assigned to this individual provider in the NPPES registry on May 7, 2024. The provider is also known as Jared Snyder.

Where is Jared Pettit located?

Jared Pettit practices at 380 NW 6th Ave, Estacada, OR 97023. The listed phone number is (503) 395-0435.

What is Jared Pettit'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 Jared Pettit was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.