| Doctor Name: | JACOB J. SWAIN |
| NPI Number: | 1083844294 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. |
| License Number: | 13252 |
| Business Practice Address: | 25117 Sw Parkway Ave Ste. D Wilsonville, OR - 970709697 |
| Business Phone Number: | 5035703665 |
| Business Fax Number: | 5035709155 |
| Mailing Address: | 3948 Ne 7th Ave, PORTLAND |
| State: | OR |
| Postal Code: | 972121133 |
| Phone Number: | 5039613921 |
| Fax Number: | 8665730984 |
| NPI Enumeration Date: | 07/22/2009 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 13252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |