Individual
MS. MELISSA DAWN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1130 NW 22ND AVE, SUITE LL10, PORTLAND, OR 97210-2900
(503) 413-7227
(503) 413-6888
Mailing address
8036 SE 28TH AVE, PORTLAND, OR 97202-8950
(503) 774-7940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
602
OR
Other
Enumeration date
02/27/2006
Last updated
12/19/2008
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