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Contact Information

KIMBERLY A JACOBY, PNP-PC
1425 BEAVERCREEK ROAD
OREGON CITY, OR97045-4023
 Phone: 503-655-8471
 Fax: 503-655-8595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY A JACOBY · (Female)

NPI Number 1821347311
Status Active
Credentials PNP-PC
Entity Individual
Enumeration date 08/30/2012
Last updated 02/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 202100947NP-PP
Hospital affiliation(s) Not Available
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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