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JACQUELINE B PANCOAST CADC I
NPI 1992056717
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since September 20, 2012
1949 SE 122ND AVE, PORTLAND, OR 97233(971) 271-6313 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline B Pancoast Cadc I NPPES

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

JACQUELINE B PANCOAST CADC I (NPI 1992056717) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (04-11-30) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1992056717
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELINE B PANCOASTCredential: CADC I
Location Address1949 SE 122ND AVEPortland, OR 97233-1303
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (971) 271-6313
Phone(971) 271-6313
Sole ProprietorNo
Enumeration DateSeptember 20, 2012
✔ NPI 1992056717 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
License✔ Licensed in OR · 04-11-30
1949 SE 122ND AVE, Portland, OR 97233
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Other Providers at the Same Location NPPES 12

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

RICARDO ANTONIO VERDEGUEZ CADC I
Counselor (Addiction (Substance Use Disorder))
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 546-9975
HARLEY J EARL III CADC I
Counselor (Addiction (Substance Use Disorder))
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (971) 271-6313
MAIDE ALMEIDA CADC I
Counselor (Addiction (Substance Use Disorder))
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 546-9975
SIMON JOSEPH KLEIN
Counselor (Mental Health)
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 253-5954
LARRY C WILLIAMS CADCI
Counselor (Addiction (Substance Use Disorder))
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 253-5954
SARAH ANNE PALILEO CADC I
Counselor
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 253-5954
KATHERINE STANSBURY
Counselor (Addiction (Substance Use Disorder))
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 253-5954
LILLIE JOY ZABLE
Counselor (Addiction (Substance Use Disorder))
1949 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 253-5954

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 Jacqueline Pancoast's NPI number?

The NPI number for Jacqueline Pancoast is 1992056717. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Jacqueline Pancoast located?

Jacqueline Pancoast practices at 1949 SE 122nd Ave, Portland, OR 97233. The listed phone number is (971) 271-6313.

What is Jacqueline Pancoast'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 Jacqueline Pancoast was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.