Individual
DR. TIMOTHY DENNIS JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
(503) 494-8550
Mailing address
3032 NE 17TH AVE, OREGON HEALTH AND SCIENCE UNIVERSITY, PORTLAND, OR 97212-3352
(503) 284-2801
(503) 494-8550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD21822
OR
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD21822
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286513
—
OR
Enumeration date
08/15/2006
Last updated
02/13/2026
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