National Provider Identifier Database

GARY A JACOBSEN, MD – NPI #1497998587
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.


Contact Information

GARY A JACOBSEN, MD
6327 SW CAPITOL HWY. , SUITE C
PMB 211
PORTLAND, OR97239
Phone: 503-245-1274
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for GARY A JACOBSEN

NPI Number 1497998587
Credentials MD
Entity Individual
Enumeration date 04/20/2009
Last updated 04/20/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: MC08382
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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