Abraham, Jacob

Abraham, Jacob is an individual health care provider with primary practice located at 9427 Sw Barnes Road Suite 498, Portland OR 97225-6652. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Abraham, Jacob can be contacted via phone (503) 216-0900.

Contact Information

Primary practice address
9427 Sw Barnes Road Suite 498 Portland OR 97225-6652
Phone: (503) 216-0900
Fax: (503) 216-0950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD29208 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD0048397 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD29208 Oregon
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X MD29208 Oregon

Profile Details

NPI number 1548223381
LBN Legal business name Abraham, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Oct 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548223381 NPPES
Oregon MEDICAID 500609590
Oregon Other P00873816
Oregon Other P00991145

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