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JACOB TRAVIS WALDRON
NPI 1902765118
Student in an Organized Health Care Education/Training Program in Forest Grove, OR

Active since January 21, 2026
2043 COLLEGE WAY, FOREST GROVE, OR 97116(503) 352-2020 Get Directions Write a Review

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

About Jacob Travis Waldron NPPES

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

JACOB TRAVIS WALDRON (NPI 1902765118) is an individual student in an organized health care education/training program in Forest Grove, Oregon and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1902765118
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB TRAVIS WALDRON
Location Address2043 COLLEGE WAYForest Grove, OR 97116-1797
Mailing Address18710 Miami Foley RdBay City, OR 97107-9709 · (503) 352-2020
Phone(503) 352-2020
Sole ProprietorYes
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1902765118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2043 COLLEGE WAY, Forest Grove, OR 97116
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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.

KIRSTIE DU
Student in an Organized Health Care Education/Training Program
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 419-7884
BALVIR SINGH PHARMD
Pharmacist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (916) 776-0404
SETH OSTROWSKI
Physician Assistant
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
ABIGAIL CARPENTER
Specialist/Technologist (Athletic Trainer)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
TINA DIEM VUONG
Optometrist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-6151
DR. KELVIN KIU WING SO O.D.
Optometrist (Corneal and Contact Management)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 880-1381
DR. BETH TOSHIKO KINOSHITA O.D.
Optometrist (Corneal and Contact Management)
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-3140
DR. SHANNON CATHLEEN LUTZ O.D.
Optometrist
2043 COLLEGE WAY
FOREST GROVE, OR 97116
Washington County (503) 352-2208

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 Waldron's NPI number?

The NPI number for Jacob Waldron is 1902765118. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Jacob Waldron located?

Jacob Waldron practices at 2043 College Way, Forest Grove, OR 97116. The listed phone number is (503) 352-2020.

What is Jacob Waldron's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Waldron was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.