Organization
OAK STREET MEDICAL P.C.
Active
Other names
Oregon Allergy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KRAIG WARREN JACOBSON M.D. (PHYSICIAN / OWNER)
(541) 683-1577
Entity
Organization
Contact information
Practice address
1488 OAK ST, EUGENE, OR 97401-4043
(541) 683-1577
(541) 344-6176
Mailing address
1488 OAK ST, EUGENE, OR 97401-4043
(541) 683-1577
(541) 344-6176
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/22/2005
Last updated
01/06/2011
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