Individual
JACOB OOSTENDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5238
(503) 567-3260
(503) 567-3264
Mailing address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5238
(503) 567-3260
(503) 567-3264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C10353
OR
101YM0800X
Mental Health Counselor
LPC-9008
ID
101YP2500X
Professional Counselor
Primary
C10353
OR
101YP2500X
Professional Counselor
LPC-9008
ID
Other
Enumeration date
02/22/2021
Last updated
07/20/2026
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