Individual
DAVID JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 N ESTHER ST, NEWBERG, OR 97132-9529
(503) 554-7923
Mailing address
1901 N ESTHER ST, NEWBERG, OR 97132-9529
(503) 554-7923
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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