Individual
DR. KARIN THEA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015-9301
(503) 571-5500
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26339
OR
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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