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Individual

KAREN JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9135 SW BARNES RD STE 985, PORTLAND, OR 97225-6699
(503) 297-3336
(032) 973-3338
Mailing address
9135 SW BARNES RD STE 985, PORTLAND, OR 97225-6699
(503) 297-3336
(503) 297-3338

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
PA174781
OR
363A00000X
Physician Assistant
2663
WI
363A00000X
Physician Assistant
Primary
PA174781
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588836654
WI
Enumeration date
03/29/2008
Last updated
03/16/2020
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