Search › Oregon › 171100000X
Stephen Jacobsen, LAC
NPI 1639625114 · on the registry since 2016 · sole proprietor
Practice
- Address
- 10500 Se 26th Ave
Apt. G22
Milwaukie, OR 97222 - Phone
- (443) 812-2240
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon