Individual
JULIE A JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10428 NE PACIFIC ST, PORTLAND, OR 97220-4028
(503) 245-2323
(503) 253-1799
Mailing address
10428 NE PACIFIC ST, PORTLAND, OR 97220-4028
(503) 245-2323
(503) 253-1799
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3084
OR
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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