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Individual
ELIZABETH JACOBSON
Active
Individual
ELIZABETH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201504934RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201504934RN
OREGON
OR
Enumeration date
05/11/2022
Last updated
05/11/2022
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