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Individual

DR. MEGAN JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 418-5700
(503) 494-4953
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 494-4953

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A 127522
CA
208000000X
Pediatrics Physician
MD186937
OR
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD186937
OR

Other

Enumeration date
03/29/2013
Last updated
07/18/2018
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