Individual
AUDRA RACHELLE NORRIS-JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24850 SE STARK ST STE 200, GRESHAM, OR 97030-8320
(503) 491-9444
Mailing address
24850 SE STARK ST STE 200, GRESHAM, OR 97030-8320
(503) 491-9444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD168646
OR
Other
Enumeration date
04/07/2010
Last updated
10/29/2019
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