Individual
DR. MADELINE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
975 SE SANDY BLVD STE 160, PORTLAND, OR 97214-2498
(971) 265-6211
Mailing address
975 SE SANDY BLVD STE 160, PORTLAND, OR 97214-2498
(971) 265-6211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A22711
CA
2084P0800X
Psychiatry Physician
Primary
DO211040
OR
2084P0800X
Psychiatry Physician
OP61512214
WA
Other
Enumeration date
04/13/2019
Last updated
03/26/2025
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