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 ALLEN GOIN

MEDICARE: JACOB ALLEN GOIN
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
1175T00000XPeer Specialist24-CRM-3558OR

General Provider Information

NPI Number : 1982556262
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB ALLEN GOIN
Provider Business Mailing Address
First Line : 6828 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-3504
Country : US
Telephone Number : 503-795-3987
Fax Number : 503-908-3998
Provider Business Practice Location Address
First Line : 6828 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-3504
Country : US
Telephone Number : 503-795-3987
Fax Number : 503-908-3998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

Similar Medicare Providers

1871255000 — ERNIE MARTINEZ-TORRECILLAS
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-374-2200
Practice Fax:
1316721418 — HOPE CENTER RECOVERY LLC
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-332-4969
Practice Fax:
1508633306 — JESSICA LYN MCCURDY CRM
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-332-4969
Practice Fax:
1144097932 — DANIEL ORTMAN
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-593-8404
Practice Fax:
1649048448 — BRANDON KEITH LANE
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-332-4969
Practice Fax:
1548038359 — ALEXA LEE FAITH PAGE 23-CRM-2592
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-332-4969
Practice Fax:

Directions to “ JACOB ALLEN GOIN ” 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.