Individual
EMILY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(203) 307-0444
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(203) 307-0444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13531
CT
Other
Enumeration date
08/08/2016
Last updated
07/22/2025
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