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JACOB ANDREW WELLIVER
NPI 1821640947
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since July 09, 2019
847 NE 19TH AVE STE 100, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob Andrew Welliver NPPES

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

JACOB ANDREW WELLIVER (NPI 1821640947) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1821640947
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB ANDREW WELLIVER
Location Address847 NE 19TH AVE STE 100Portland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateJuly 9, 2019
✔ NPI 1821640947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
847 NE 19TH AVE STE 100, Portland, OR 97232
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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.

TESHA YOLANDA MITCHELL
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
JENNIFER PETERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REAGAN WILLIAM SELLERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
PHILLIP ALEXANDER HALL
Case Manager/Care Coordinator
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KATE OLDFIELD
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KERSEY STEPHEN HARDING
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
EMILY HURD
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REESE ERVIN GIBERSON
Social Worker
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Welliver's NPI number?

The NPI number for Jacob Welliver is 1821640947. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Jacob Welliver located?

Jacob Welliver practices at 847 NE 19th Ave Ste 100, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Jacob Welliver'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 Jacob Welliver was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.