Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audra Rachelle Norris-Jacob, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1770809303

Audra Rachelle Norris-Jacob, MD is an Obstetrics/Gynecology in Gresham, Oregon. Graduated from Emory University School of Medicine in 2010, 16 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
16
Trained at
Emory University School of Medicine
Licensed in
OR
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24850 SE Stark St Ste 200
Gresham, OR 97030-8320
Phone: (503) 491-9444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD168646 (OR)

Record details

NPI number1770809303
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2010
Last updated in NPPESOctober 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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