MADELINE JACOBS

CLACKAMAS, OR
NPI1447622477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201809753NP-PP)
Additional Taxonomies163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR  201504614RN)
Enumeration Date2015-10-29
Last Update Date2024-12-03
Business Address
Ms. MADELINE JACOBS PMHNP, RN, BSN
13568 SE 97TH AVE STE 202
CLACKAMAS, OR 97015-6668
Phone number: 503-694-3381
Mailing Address
Ms. MADELINE JACOBS PMHNP, RN, BSN
PO BOX 23993
TIGARD, OR 97281-3993
Phone number: 503-694-3381