Individual
NICK PAUL JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1002 LIBRARY CT, OREGON CITY, OR 97045-4066
(503) 655-8264
(503) 655-8428
Mailing address
1002 LIBRARY CT, OREGON CITY, OR 97045-4066
(503) 655-8264
(503) 655-8428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6907
OR
Other
Enumeration date
08/20/2009
Last updated
02/25/2016
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