Individual
CHLOE K JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1219 SE LAFAYETTE ST STE 100, PORTLAND, OR 97202-3802
(503) 765-5733
Mailing address
1825 SE MORRISON ST APT 2, PORTLAND, OR 97214-2764
(541) 941-8113
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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