Individual
MR. KRIS N JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2860 CREEKSIDE CIRCLE, MEDFORD, OR 97504
(541) 779-8367
(541) 779-7471
Mailing address
1917 E MAIN ST, MEDFORD, OR 97504
(541) 770-2031
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD16535
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008610
—
OR
05
—
USA242450
—
CA
Enumeration date
01/25/2006
Last updated
10/12/2007
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