CHAD CHRISTOPHER JACOBS

PORTLAND, OR
NPI1689006850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OR  C2925)
Additional Taxonomies101Y00000X Counselor
(Licence: LA  3741)
Enumeration Date2013-07-30
Last Update Date2023-12-29
Business Address
Mr. CHAD CHRISTOPHER JACOBS MED, LPC
9755 SW BARNES RD STE 650
PORTLAND, OR 97225-6657
Phone number: 503-444-4862
Mailing Address
Mr. CHAD CHRISTOPHER JACOBS MED, LPC
710 NW AUTUMNCREEK WAY #L305
BEAVERTON, OR 97006-9008
Phone number:
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