Individual
LAURA L JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19400 NW EVERGREEN PKWY, HILLSBORO, OR 97124-7031
(503) 690-5027
Mailing address
19400 NW EVERGREEN PKWY, HILLSBORO, OR 97124-7031
(503) 690-5027
(503) 617-2333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34005234A
IN
1041C0700X
Clinical Social Worker
Primary
L4238
OR
Other
Enumeration date
06/14/2007
Last updated
08/28/2008
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