Individual
DR. RICK JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
33 N CENTRAL AVE, MEDFORD, OR 97501-5939
(541) 776-9045
Mailing address
132 MANZANITA ST, CENTRAL POINT, OR 97502-2049
(541) 664-5151
(541) 664-5155
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PA5019
OR
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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