Individual provider Active NPI

Jacob Rowland Howa-Morrow, DMD

  • Dentist
  • Portland, OR
National Provider Identifier
1245519479
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9623 Issued in OR
Practice address
728 SE 60TH Ave
Portland, OR 97215-1906
Phone
(503) 841-5658
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9623 OR Primary

Addresses

Primary practice location

728 SE 60TH Ave
Portland, OR 97215-1906

Mailing address

728 SE 60TH Ave
Portland, OR 97215-1906
Phone (503) 841-5658

Other names 1

  • Dr. Jacob Rowland Morrow Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151223000929 OR Order and Referring Only - DentistPractitioner - Dentist 1052612678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9623ORMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1245519479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 SE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151906",
            "telephone_number": "503-841-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 SE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151906",
            "telephone_number": "503-841-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWA-MORROW",
        "first_name": "JACOB",
        "middle_name": "ROWLAND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "MORROW",
            "middle_name": "ROWLAND",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.