Roddy Jacobson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

8285 SW Nimbus Ave Ste 148
Beaverton, OR 97008-6465

Phone

(503) 352-3260

NPI assigned

Sep 16, 2024

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

Practice roles

Locations

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.

• Options Counseling Services of Oregon

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1992532790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 SE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023934",
            "telephone_number": "770-853-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 148",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086465",
            "telephone_number": "503-352-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "RODDY",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jackson
• Kathleen Marie Jackson, RDH
• Jeffrey Jacky, DENTURIST LD
• Tonia Ann Jacobs
• Mary Abigail Jacobson, MPA, NBC-HWC
• James Anthony Jacoby, LMT
• Jade Dental LLC
• Sayali Jadhav
• Jagger & Crew International LLC
• Rashmi Jain

• Case Manager/Care Coordinator in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.