Individual
RODDY JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
8285 SW NIMBUS AVE STE 148, BEAVERTON, OR 97008-6465
(503) 352-3260
Mailing address
4128 SE 16TH AVE, PORTLAND, OR 97202-3934
(770) 853-7525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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