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1285832352
MATTHEW JACOBSON
PORTLAND, OR
NPI
1285832352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
-- MATTHEW JACOBSON
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
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Mailing Address
-- MATTHEW JACOBSON
1911 SE 20TH AVE
PORTLAND, OR 97214-4805
Phone number:
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