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Carol Elizabeth Jacoby, ACNP
Acute Care Nurse Practitioner in Portland, Oregon
NPI 1457368391

Carol Elizabeth Jacoby is an Acute Care Nurse Practitioner based in Portland, OR and is specialized in Acute Care. Carol Elizabeth Jacoby practices in Portland, OR and has the professional credentials of ACNP. The NPI Number for Carol Elizabeth Jacoby is 1457368391 and holds a License No. 200150018NP (Oregon).

The current practice location address for Carol Elizabeth Jacoby is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-5058.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
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Provider Profile Details
NPI Number
1457368391
Provider Name
Carol Elizabeth Jacoby
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-5058
Fax Number
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292871 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-5058
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-5058
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
200150018NP (Oregon)
Definition
Definition to come...
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