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JEFF WAKEHAM
NPI 1467631374
Specialist in Gresham, OR

Active since October 26, 2007
4101 NE DIVISION ST, SUITE # 100, GRESHAM, OR 97030(503) 666-3808(503) 666-6835 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeff Wakeham NPPES

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

JEFF WAKEHAM (NPI 1467631374) is an individual specialist in Gresham, Oregon and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1467631374
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJEFF WAKEHAM
Location Address4101 NE DIVISION ST, SUITE # 100Gresham, OR 97030-4617
Mailing Address7540 Charolais CtGladstone, OR 97027-1259 · (503) 557-7903
Phone(503) 666-3808
Fax(503) 666-6835
Sole ProprietorNo
Enumeration DateOctober 26, 2007
✔ NPI 1467631374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4101 NE DIVISION ST, Gresham, OR 97030
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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.

MS. REBECCA LEIGH SHOWER RN, LAC
Registered Nurse (Psychiatric/Mental Health)
4101 NE DIVISION ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808
DEBRA LELM
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575
JUAN ANTONIO VALLEJO JR.
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 729-2152
AMY ROMBERG BA IN FRENCH, MSW
Specialist
4101 NE DIVISION ST, # 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808
RACHEL SEVERSON QMHA
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575
JAMES MACLEOD
Social Worker (Clinical)
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 284-1963
LORI JANEEN RICH THW000003028
Peer Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575
TYLER ASHBY
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575

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 Jeff Wakeham's NPI number?

The NPI number for Jeff Wakeham is 1467631374. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is Jeff Wakeham located?

Jeff Wakeham practices at 4101 NE Division St Suite # 100, Gresham, OR 97030. The listed phone number is (503) 666-3808.

What is Jeff Wakeham's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jeff Wakeham was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.