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1992532790
RODDY JACOBSON
BEAVERTON, OR
NPI
1992532790
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
RODDY JACOBSON
8285 SW NIMBUS AVE STE 148
BEAVERTON, OR 97008-6465
Phone number: 503-352-3260
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Mailing Address
RODDY JACOBSON
4128 SE 16TH AVE
PORTLAND, OR 97202-3934
Phone number: 770-853-7525
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