Individual
RAYNA JOYCE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., R.N.
Contact information
Practice address
2143 NE BROADWAY ST, PORTLAND, OR 97232-1512
(503) 358-9543
Mailing address
2727 NE JARRETT ST, PORTLAND, OR 97211-6164
(503) 358-9543
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00174
OR
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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