Individual
HEATHER JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, NBC-HWC
Contact information
Practice address
1919 NW LOVEJOY ST, PORTLAND, OR 97209-1503
(503) 415-4753
Mailing address
3321 SE LOEFFELMAN RD, MILWAUKIE, OR 97222-7015
(831) 239-8017
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3105172
OR
174H00000X
Health Educator
—
—
Other
Enumeration date
04/12/2018
Last updated
12/20/2023
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