Jacobsen, Ive Grace

Jacobsen, Ive Grace is an individual health care provider with primary practice located at 200 Se Hailey Ave Ste 307 , Pendleton OR 97801-3072. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jacobsen, Ive Grace can be contacted via phone (541) 663-4104.

Contact Information

Primary practice address
200 Se Hailey Ave Ste 307 Pendleton OR 97801-3072
Phone: (541) 663-4104
Fax: (541) 429-8822
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X THW000109264 Oregon

Profile Details

NPI number 1134802085
LBN Legal business name Jacobsen, Ive Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2023
Last updated Aug 8th, 2023 - about 2 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.

Request for update

Popular Providers