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Individual

JACQUELYN JACOBSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
240 8TH ST, ASTORIA, OR 97103-4502
(503) 468-0048
Mailing address
460 FLORAL ST, ASTORIA, OR 97103-5913

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
OR

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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