Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary A Jacobsen, MD

Individual provider Specialist · NPI 1497998587

Gary A Jacobsen, MD is a Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6327 SW Capitol Hwy Ste C Pmb 211
Portland, OR 97239
Phone: (503) 245-1274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MC08382 (OR)

Record details

NPI number1497998587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2009
Last updated in NPPESApril 20, 2009
Mailing address6327 Sw Capitol Hwy. , Suite C, Pmb 211, Portland, OR 97239

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