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1427476480
ZACHARY JACOBS
PORTLAND, OR
NPI
1427476480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD188680)
Enumeration Date
2014-04-06
Last Update Date
2022-07-21
Business Address
ZACHARY JACOBS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Phone number: 503-494-8562
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Mailing Address
ZACHARY JACOBS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8562
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