Caroline N Jacobs, PHD, APRN - Nurse Practitioner in Portland, OR

Caroline N Jacobs, PHD, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Portland, Oregon. Caroline N Jacobs is licensed to practice in Washington (license number AP60167711) and her current practice location is 4804 Nw Bethany Blvd, Ste I-2, #142, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 332-6000.

NPI number for Caroline N Jacobs is 1306158548 and her current mailing address is 4804 Nw Bethany Blvd., Ste I-2, #142, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306158548.

Contact Information

Caroline N Jacobs, PHD, APRN
4804 Nw Bethany Blvd, Ste I-2, #142,
Portland, OR 97229
(503) 332-6000
Not Available

Map and Direction




Provider's Profile

Full NameCaroline N Jacobs
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4804 Nw Bethany Blvd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306158548
  • Provider Enumeration Date: 07/03/2010
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Caroline N Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306158548NPI-NPPES
0271524OtherWALABOR & INDUSTRIES
1306158548MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP60167711 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caroline N Jacobs is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Caroline N Jacobs, PHD, APRN
4804 Nw Bethany Blvd., Ste I-2, #142,
Portland, OR 97229

Ph: (503) 332-6000
Caroline N Jacobs, PHD, APRN
4804 Nw Bethany Blvd, Ste I-2, #142,
Portland, OR 97229

Ph: (503) 332-6000

Reviews and Comments


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