Individual
KRAIG WARREN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
09759
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234468
—
OR
Enumeration date
08/22/2005
Last updated
12/28/2010
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