DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. JESSICA C JACOBSEN LCSW

MEDICARE: MS. JESSICA C JACOBSEN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL7151OR

General Provider Information

NPI Number : 1548458607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA C JACOBSEN LCSW
Provider Business Mailing Address
First Line : 209 SW 4TH AVE STE 520
Second Line :
City : PORTLAND
State : OR
Zip : 97204-1825
Country : US
Telephone Number : 503-867-4379
Fax Number :
Provider Business Practice Location Address
First Line : 209 SW 4TH AVE STE 520
Second Line :
City : PORTLAND
State : OR
Zip : 97204-1825
Country : US
Telephone Number : 503-867-4379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2007
Last Update Date : 05/08/2019

Similar Medicare Providers

1467235275 — ROCIO FABIOLA HANDAL RODRIGUEZ
Practice Location Address:
209 SW 4TH AVE STE 520
PORTLAND, OR
97204-1825
Practice Phone: 503-988-5464
Practice Fax: 503-988-4386
1730302670 — JENNIFER MANEY MSW, LCSW
Practice Location Address:
209 SW 4TH AVE STE 520
PORTLAND, OR
97204-1825
Practice Phone: 503-988-3999
Practice Fax:
1770764334 — SUSANA GOMORA
Practice Location Address:
209 SW 4TH AVE STE 520
PORTLAND, OR
97204-1825
Practice Phone: 971-710-4424
Practice Fax: 503-988-4386
1750689014 — MR. ROBERT CASEY KENDALL MSP
Practice Location Address:
209 SW 4TH AVE STE 520
PORTLAND, OR
97204-1825
Practice Phone: 503-680-7360
Practice Fax:
1538427257 — BRAUNWYNN FRANKLIN BAA
Practice Location Address:
209 SW 4TH AVE STE 520
PORTLAND, OR
97204-1825
Practice Phone: 503-780-7077
Practice Fax:
1225499536 — REED CARL MCCLINTOCK
Practice Location Address:
209 SW 4TH AVE STE 520
PORTLAND, OR
97204-1825
Practice Phone: 503-988-5464
Practice Fax: 503-988-4386

Directions to “ MS. JESSICA C JACOBSEN LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.