Individual
EMILY H JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 97223-0803
(503) 216-9200
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3746
OR
Other
Enumeration date
07/06/2016
Last updated
04/01/2025
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