Individual
CHRISTINA LEE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2198 NE STEPHENS ST STE 101, ROSEBURG, OR 97470-1410
(541) 900-1418
Mailing address
2198 NE STEPHENS ST STE 101, ROSEBURG, OR 97470-1410
(541) 900-1418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016234
OR
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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