JACOB KEITH BASSEN
NPI 1790336220
Counselor - Mental Health in Portland, OR

Active since September 25, 2019
811 NW 20TH AVE, PORTLAND, OR 97209(503) 807-3917 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Keith Bassen NPPES

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

JACOB KEITH BASSEN (NPI 1790336220) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1790336220
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB KEITH BASSEN
Location Address811 NW 20TH AVEPortland, OR 97209-1443
Mailing Address498 Se 10th AveCanby, OR 97013-8783
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
NPI 1790336220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
811 NW 20TH AVE, Portland, OR 97209

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
811 NW 20TH AVE, SUITE 103
PORTLAND, OR 97209
Social Worker (Clinical)
811 NW 20TH AVE
PORTLAND, OR 97209
Social Worker (Clinical)
811 NW 20TH AVE, SUITE 304
PORTLAND, OR 97209
Social Worker (Clinical)
811 NW 20TH AVE, SUITE 302
PORTLAND, OR 97209
Social Worker (Clinical)
811 NW 20TH AVE, SUITE 201
PORTLAND, OR 97209
Acupuncturist
811 NW 20TH AVE, SUITE 204
PORTLAND, OR 97209
Acupuncturist
811 NW 20TH AVE, SUITE 206
PORTLAND, OR 97209
Acupuncturist
811 NW 20TH AVE, SUITE 202
PORTLAND, OR 97209

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 Bassen's NPI number?

The NPI number for Jacob Bassen is 1790336220. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Jacob Bassen located?

Jacob Bassen practices at 811 NW 20th Ave, Portland, OR 97209. The listed phone number is (503) 807-3917.

What is Jacob Bassen'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 Bassen was last updated on September 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.