# ERIC E JACOBSEN DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952641870
- **Authorized official:** ERIC JACOBSEN (OWNER)
- **Authorized official phone:** (443) 562-5564

## Contact information

- **Practice address:** 19502 MOLALLA AVENUE, SUITE 109-111, OREGON CITY, OR 97045
- **Practice address phone:** (443) 562-5564
- **Mailing address:** 17501 S JEAN DR, OREGON CITY, OR 97045-7833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 03/13/2013