Individual
ELKE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 526-6608
Mailing address
242 HOSPITAL DR, STE B, UKIAH, CA 95482-4556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
12/21/2015
Last updated
04/21/2020
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