Jacobs, Madeline

Jacobs, Madeline is an individual health care provider with primary practice located at 6700 Sw 105Th Ave Ste 203 , Beaverton OR 97008-8824. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jacobs, Madeline can be contacted via phone (503) 694-3381.

Contact Information

Primary practice address
6700 Sw 105Th Ave Ste 203 Beaverton OR 97008-8824
Phone: (503) 694-3381
Fax: (503) 386-3293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 201504614RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201809753NP-PP Oregon

Profile Details

NPI number 1447622477
LBN Legal business name Jacobs, Madeline
Credentials PMHNP, RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Mar 7th, 2023 - about last year

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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