STEPHANIE LYNN JACOBSON NP
NPI 1962056556
Nurse Practitioner - Family in Portland, OR

Active since July 31, 2019
5000 N WILLAMETTE BLVD, PORTLAND, OR 97203(503) 943-8000 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Jul 31, 2019 (2 updates tracked since 2019).

About Stephanie Lynn Jacobson Np NPPES

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

STEPHANIE LYNN JACOBSON NP (NPI 1962056556) is an individual family provider in Portland, Oregon, licensed in Oregon (202106433NP-PP) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1962056556
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE LYNN JACOBSONCredential: NP
Location Address5000 N WILLAMETTE BLVDPortland, OR 97203-5798
Mailing Address1331 Sw Carson StPortland, OR 97219-4332 · (503) 351-8803
Sole ProprietorNo
Enumeration DateJuly 31, 2019
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1962056556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 202106433NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 200842440RN (OR)
5000 N WILLAMETTE BLVD, Portland, OR 97203

Other Providers at the Same Location NPPES 16

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

Specialist/Technologist (Athletic Trainer)
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203
Nurse Practitioner (Family)
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203
Registered Nurse
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203
Registered Nurse
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203
Psychologist (Counseling)
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203
Student in an Organized Health Care Education/Training Program
5000 N WILLAMETTE BLVD, BC382
PORTLAND, OR 97203
Psychologist (Clinical)
5000 N WILLAMETTE BLVD, MSC 147
PORTLAND, OR 97203
Clinic/Center (Student Health)
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203

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 Stephanie Jacobson's NPI number?

The NPI number for Stephanie Jacobson is 1962056556. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Stephanie Jacobson located?

Stephanie Jacobson practices at 5000 N Willamette Blvd, Portland, OR 97203. The listed phone number is (503) 943-8000.

What is Stephanie Jacobson'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 Stephanie Jacobson was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.