GARY A JACOBSEN

PORTLAND, OR
NPI1497998587
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  MC08382)
Enumeration Date2009-04-20
Last Update Date2009-04-20
Business Address
-- GARY A JACOBSEN MD
6327 SW CAPITOL HWY. , SUITE C PMB 211
PORTLAND, OR 97239
Phone number: 503-245-1274
Mailing Address
-- GARY A JACOBSEN MD
6327 SW CAPITOL HWY. , SUITE C PMB 211
PORTLAND, OR 97239
Phone number: 503-245-1274
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