DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB DANIEL BURGESS-GARTON MS, NCC

MEDICARE: JACOB DANIEL BURGESS-GARTON MS, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorOR

General Provider Information

NPI Number : 1366378556
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB DANIEL BURGESS-GARTON MS, NCC
Provider Business Mailing Address
First Line : 3415 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3371
Country : US
Telephone Number : 503-234-9591
Fax Number :
Provider Business Practice Location Address
First Line : 3415 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3371
Country : US
Telephone Number : 503-234-9591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/26/2026

Similar Medicare Providers

1780886309 — KATHRYN SARAH DRISKELL
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax:
1447971551 — REBECCA ANN FOLEY MSW
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 888-295-6996
Practice Fax:
1912830845 — MADELEINE HIGBEE RN
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax:
1740935485 — JUNIPER DULANEY
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 888-295-6996
Practice Fax:
1568484103 — KELLEY S. FELLMAN MD
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax:
1093873382 — TRILLIUM FAMILY SERVICES, INC.
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax: 503-205-0193

Directions to “ JACOB DANIEL BURGESS-GARTON MS, NCC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.