Individual
THOMAS LARUE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
475 S COLUMBIA RIVER HWY STE 105, SAINT HELENS, OR 97051-2860
(503) 397-7119
Mailing address
29134 OLD RAINIER RD, RAINIER, OR 97048-2300
(360) 818-4677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201707769NP-PP
OR
363LF0000X
Family Nurse Practitioner
153353
AK
363LF0000X
Family Nurse Practitioner
201707769NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60785555
WA
Other
Enumeration date
08/14/2017
Last updated
02/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us