Provider Demographics
NPI:1053292987
Name:JONES, JEREME JACOB (CONSULTING)
Entity type:Individual
Prefix:
First Name:JEREME
Middle Name:JACOB
Last Name:JONES
Suffix:
Gender:M
Credentials:CONSULTING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36451 S SAWTELL RD UNIT 8
Mailing Address - Street 2:
Mailing Address - City:MOLALLA
Mailing Address - State:OR
Mailing Address - Zip Code:97038-8808
Mailing Address - Country:US
Mailing Address - Phone:503-812-2926
Mailing Address - Fax:
Practice Address - Street 1:23421 OR-213 28
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045
Practice Address - Country:US
Practice Address - Phone:503-812-2926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist