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Search › Oregon › 1041C0700X

Jake Jacobsen, ATR, LCSW

NPI 1992932479 · on the registry since 2009 · sole proprietor

Practice

Address
6124 Se Milwaukie Ave
Portland, OR 97202
Phone
(347) 449-4565
Organisation at this address
Thelma Vega Llc
Embrace Counseling Llc
Compassionate Therapy For Autism, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
1041C0700X
Licence states on file
NY, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-22

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