Jake Parker, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

110012 Issued in OR

Practice address

2236 SE Belmont St
Portland, OR 97214-2817

Phone

(503) 445-7699

NPI assigned

Nov 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade AIDS Project

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1275076168
  NPD (past)
• Cascade AIDS Project

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1336902394
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1699549626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142817",
            "telephone_number": "503-445-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JAKE",
        "credential": "PSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "110012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Roxanne Parker
• Fletcher Parker, DC
• Franklin Parker, MD
• Gail Merle Parker, CRM
• Hesadiah I Parker
• Jamie Lynn Parker, BS, RDH
• Jane E Parker, SLP
• Janet Parker, LCSW
• Jason Parker, CRM
• Jennifer M Parker, PT, DPT, MOT, OTR

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.