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1295844827
PAUL O. JACOBS
CLACKAMAS, OR
NPI
1295844827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR OR MD08154)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- PAUL O. JACOBS MD
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-653-6440
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Mailing Address
-- PAUL O. JACOBS MD
11902 SE SOLOMON CT
HAPPY VALLEY, OR 97266-6870
Phone number: 503-652-2880
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