Individual
MR. JACOB ALEXANDER TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LF60611773
WA
101Y00000X
Counselor
T1006
OR
101Y00000X
Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
LF60611773
WA
101YM0800X
Mental Health Counselor
T1006
OR
Other
Enumeration date
09/12/2011
Last updated
03/26/2026
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