Individual
MS. JESSICA C JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 867-4379
Mailing address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 867-4379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7151
OR
Other
Enumeration date
10/12/2007
Last updated
05/08/2019
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