Individual
DR. ROBERT LEONARD JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 997-8412
(541) 902-1320
Mailing address
5419 S.W. SCHOLLS FERY ROAD, PORTLAND, OR 97225
(503) 241-8055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19329
OR
Other
Enumeration date
01/17/2007
Last updated
11/14/2018
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