Provider Profile
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Source: NPPES NPI Registry
912 NE KELLY AVE # 100C
Gresham, OR 97030
Johnathon M. Jacobsen is listed at 912 Ne Kelly Ave # 100C, Gresham, OR 97030. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (503) 912-5502. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Johnathon M. Jacobsen's National Provider Identifier is 1699363143. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Johnathon M. Jacobsen has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Johnathon M. Jacobsen. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.