Individual
SCOTT R JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NE NEFF RD, SUITE 200, BEND, OR 97701-4283
(541) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD, SUITE 200, BEND, OR 97701-4283
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD19419
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074067
—
OR
01
—
MD19419
DBME
OR
Enumeration date
06/20/2005
Last updated
03/04/2025
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