Kirkwood, Jacob Gabriel

Kirkwood, Jacob Gabriel is an individual health care provider with primary practice located at 10151 Se Sunnyside Rd Ste 480 , Happy Valley OR 97015-5705. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kirkwood, Jacob Gabriel can be contacted via phone (503) 739-8321.

Contact Information

Primary practice address
10151 Se Sunnyside Rd Ste 480 Happy Valley OR 97015-5705
Phone: (503) 739-8321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201607151 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10011841 Oregon

Profile Details

NPI number 1700566585
LBN Legal business name Kirkwood, Jacob Gabriel
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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