IVE GRACE JACOBSEN

PENDLETON, OR
NPI1134802085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  THW000109264)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
IVE GRACE JACOBSEN
200 SE HAILEY AVE STE 307
PENDLETON, OR 97801-3072
Phone number: 541-663-4104
Mailing Address
IVE GRACE JACOBSEN
PO BOX 882
PENDLETON, OR 97801-0882
Phone number: 541-429-8844