Individual
ANDREW JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3160 CENTER STREET NE, SALEM, OR 97301
(503) 585-4949
Mailing address
3160 CENTER ST NE, SALEM, OR 97301-4530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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