Ive Grace Jacobsen
Ive Grace Jacobsen is a Community Health Worker in Pendleton, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
200 SE Hailey Ave Ste 307Pendleton, OR 97801-3072
Phone: (541) 663-4104
Fax: (541) 429-8822
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence THW000109264 (OR) |
|---|
Record details
| NPI number | 1134802085 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 8, 2023 |
| Mailing address | Po Box 882, Pendleton, OR 97801-0882 |
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