Jacobson, Karen

Jacobson, Karen is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Ste 985 , Portland OR 97225-6699. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jacobson, Karen can be contacted via phone (503) 297-3336.

Contact Information

Primary practice address
9135 Sw Barnes Rd Ste 985 Portland OR 97225-6699
Phone: (503) 297-3336
Fax: (032) 973-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X PA174781 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2663 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA174781 Oregon

Profile Details

NPI number 1588836654
LBN Legal business name Jacobson, Karen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2008
Last updated Mar 16th, 2020 - about 5 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 1588836654 NPPES
Wisconsin MEDICAID 1588836654

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