Individual provider · Type 1 NPI

Gary A. Jacobsen, MD

Specialist · Portland, OR

NPI number 1497998587 Active

Practice location

6327 SW Capitol Hwy. , Suite C, Pmb 211
Portland, OR 97239

Call (503) 245-1274 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMC08382 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497998587

Gary A. Jacobsen, MD's National Provider Identifier is 1497998587, issued on Apr 20, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Apr 20, 2009.