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Individual

JACOB ADAM METCALF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1839 NE GLISAN ST, PORTLAND, OR 97232-2844
(503) 963-7676
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201707360RN
OR

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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