Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB MILLER
NPI 1902619778
Nurse Practitioner - Family in Portland, OR

Active since January 27, 2025
1125 NW 9TH AVE APT 108, PORTLAND, OR 97209(503) 896-1445 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, Jul 21, 2026 (2 updates tracked since 2026).

About Jacob Miller NPPES

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

JACOB MILLER (NPI 1902619778) is an individual family provider in Portland, Oregon, licensed in Oregon (10064246) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1902619778
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB MILLER
Location Address1125 NW 9TH AVE APT 108Portland, OR 97209-2865
Mailing Address1125 Nw 9th Ave Apt 108Portland, OR 97209-2865 · (503) 804-1823
Sole ProprietorYes
Enumeration DateJanuary 27, 2025
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1902619778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 10064246
1125 NW 9TH AVE APT 108, 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 Miller's NPI number?

The NPI number for Jacob Miller is 1902619778. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Jacob Miller located?

Jacob Miller practices at 1125 NW 9th Ave Apt 108, Portland, OR 97209. The listed phone number is (503) 896-1445.

What is Jacob Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacob Miller was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.