Individual
MR. SIMON SHARKEY-JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 NW 20TH AVE, PORTLAND, OR 97209-1607
(503) 610-3307
Mailing address
4057 N CONCORD AVE, PORTLAND, OR 97227-1013
(503) 806-9001
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC185992
OR
Other
Enumeration date
01/29/2018
Last updated
03/17/2018
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