Marissa Rae Jacobson

NPI #1184432148 in Fossil, Oregon

Provider Information

NPI Number: 1184432148
Entity Type: Individual
Name: Marissa Rae Jacobson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 23, 2024
Last Updated: Dec 23, 2024

Practice Location

Address: 401 FOURTH ST
City: Fossil
State: Oregon
ZIP Code: 97830-8302
Phone: (541) 763-2746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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