Jacob Andrew Welliver is an addiction (substance use disorder) counselor in Portland, OR. Jacob Andrew Welliver NPI is 1821640947. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
847 NE 19TH AVE STE 100
PORTLAND, OR
ZIP 97232-684
Phone: (503) 238-0769
The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.