Pamela S Jacobs is a Psychologist in Portland, Oregon. Pamela S Jacobs practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pamela S Jacobs is 1366462418. The last update date is 2023-04-20.
Pamela S Jacobs's current location address is 1776 Sw Madison St, Portland, Oregon. You can contact this provider via phone number 5032241044 and fax number 5036212235. The mailing address for Pamela S Jacobs is 1776 Sw Madison St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela S Jacobs |
|---|---|
| Address | 1776 Sw Madison St, Portland, Oregon |
| Phone Number | 5032241044 |
| Fax Number | 5036212235 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1366462418 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2023-04-20 |
Provider Mailing Address Detail
| Address | 1776 Sw Madison St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972051715 |
| Phone Number | 5032241044 |
| Fax Number | 5036212235 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY61247572 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2025952 | WA | -- | |
| 500655828 | OR | -- |
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What is the unique 10-digit identification code issued to Pamela S Jacobs by the Centers for Medicare & Medicaid Services?
The Pamela S Jacobs has been assigned the NPI (National Provider Identifier) 1366462418 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Pamela S Jacobs located?
The Pamela S Jacobs is located at 1776 Sw Madison St, Portland, OR 972051715.
What is Pamela S Jacobs's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pamela S Jacobs is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
When was the Pamela S Jacobs's 1366462418 issued?
The Pamela S Jacobs's 1366462418 was issued on 2006-07-20.
As of what date were the details related to Pamela S Jacobs most recently updated or revised?
The information pertaining to Pamela S Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-20.