Individual
BETONY M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3526 NE 57TH AVE, PORTLAND, OR 97213-1737
(503) 335-9440
Mailing address
3526 NE 57TH AVE, PORTLAND, OR 97213-1737
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
11/27/2018
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