Individual
MS. RENEE M JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1356 NE HAWTHORNE AVE, HILLSBORO, OR 97124-2603
(503) 502-9456
Mailing address
1356 NE HAWTHORNE AVE, HILLSBORO, OR 97124-2603
(503) 502-9456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3374
OR
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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