MEDICARE: DR. ESTHER RUTH JACOBS SEXTON PSYD, CADC I

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
1	101YM0800X	Mental Health Counselor
2	103TC0700X	Clinical Psychologist	PY60792046	WA
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	103TC0700X	Clinical Psychologist	3039	OR

General Provider Information

NPI Number	:	1992192918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ESTHER RUTH JACOBS SEXTON PSYD, CADC I

Provider Business Mailing Address
First Line	:	9320 SW BARBUR BLVD STE 380
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-5430
Country	:	US
Telephone Number	:	971-204-8925
Fax Number	:

Provider Business Practice Location Address
First Line	:	9320 SW BARBUR BLVD STE 380
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-5430
Country	:	US
Telephone Number	:	971-204-8925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	02/11/2026

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