Individual
KATHRYN JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C7632
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/06/2013
Last updated
01/13/2026
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