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Individual

MISS NATALIE JANE JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
541 NE 20TH AVE, PORTLAND, OR 97232-2862
(503) 221-0161
Mailing address
541 NE 20TH AVE, PORTLAND, OR 97232-2862
(503) 221-0161

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4362
OR

Other

Enumeration date
02/21/2007
Last updated
07/21/2022
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