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Individual

NICOLE JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9427 SW BARNES RD, PORTLAND, OR 97225-6652
(503) 216-6050
Mailing address
9427 SW BARNES RD, PORTLAND, OR 97225-6652

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
202200991RN
OR

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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