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1336192574
BEN E JACOBSON
PORTLAND, OR
NPI
1336192574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A72246)
Enumeration Date
2006-05-18
Last Update Date
2007-09-04
Business Address
Dr. BEN E JACOBSON M.D.
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-4830
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Mailing Address
Dr. BEN E JACOBSON M.D.
PO BOX 25184
PORTLAND, OR 97298-0184
Phone number: 503-292-9108
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