Individual
STEPHEN JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
10500 SE 26TH AVE, APT. G22, MILWAUKIE, OR 97222-9600
(443) 812-2240
Mailing address
10500 SE 26TH AVE, APT. G22, MILWAUKIE, OR 97222-9600
(443) 812-2240
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC177271
OR
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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