David Jacobus

NPI #1174071153 in Ontario, Oregon

Provider Information

NPI Number
1174071153
Entity Type
Individual
Name
David Jacobus
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Sep 19, 2016
Last Updated
Sep 19, 2016

Practice Location

Address
686 NW 9TH ST
State
Oregon
ZIP Code
97914-1600
Phone
(541) 889-9167

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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