Rayna Joyce Jacobson L.AC., R.N.

NPI 1134292980 - Acupuncturist - 171100000X

NPI Details
NPI 1134292980
Gender Female
Enumeration Date 11/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2143 NE BROADWAY ST
PORTLAND OR, 97232-1512, US
Phone (503) 358-9543
Fax
Business Location
2727 NE JARRETT ST
PORTLAND OR, 97211-6164, US
Phone (503) 358-9543
Fax
Toxanomy
Taxonomy Code 171100000X
License State Oregon
License Number AC00174
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According to our database, Rayna Joyce Jacobson L.AC., R.N. NPI is 1134292980, taxonomy code is 171100000X and license number is AC00174, license state is located at Oregon. Rayna Joyce Jacobson L.AC., R.N. physically located at 2143 Ne Broadway St, Portland OR, 97232-1512. NPI Number Rayna Joyce Jacobson L.AC., R.N. has the Individual type.

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1134292980 NPI number is provided on an as is basis without warranty of any kind. 1134292980 is maintained by the National Plan & Provider Enumeration System. The contents of Rayna Joyce Jacobson L.AC., R.N. are for informational purposes only.