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Jacobs Mental Health Services Llc
Psychiatric/Mental Health Nurse Practitioner in Beaverton, Oregon
NPI 1407573850

Jacobs Mental Health Services Llc is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Jacobs Mental Health Services Llc practices in Beaverton, OR. The NPI Number for Jacobs Mental Health Services Llc is 1407573850 and holds a License No. (Oregon).

The current practice location address for Jacobs Mental Health Services Llc is 6700 Sw 105Th Ave Ste 203, Beaverton, OR and can be reached out via phone at 503-694-3381.

Location: 6700 Sw 105Th Ave Ste 203, Beaverton, OR, 97204-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407573850
Provider Name
Jacobs Mental Health Services Llc
Credential
Provider Entity Type
Organization
Address
6700 Sw 105Th Ave Ste 203, Beaverton, OR, 97204-2405
Phone Number
503-694-3381
Fax Number
Provider Enumeration Date
10/26/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447622477 01 NPI 1
institution
Provider Business Practice Location Address Details
Address
6700 Sw 105Th Ave Ste 203
City
Beaverton
State
Oregon
Zip
97008-8824
Phone Number
503-694-3381
Fax Number
person
Provider Business Mailing Address Details
Address
6700 Sw 105Th Ave Ste 203
City
Beaverton
State
Oregon
Zip
97008-8824
Phone Number
503-694-3381
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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