GARY A JACOBSEN MD
NPI 1497998587
Specialist in Portland, OR

Q: What is Gary Jacobsen's NPI number?

The NPI number for Gary Jacobsen is 1497998587. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Q: What is Gary Jacobsen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Jacobsen was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2009

6327 SW CAPITOL HWY. , SUITE C, PMB 211, PORTLAND, OR 97239(503) 245-1274 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary A Jacobsen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY A JACOBSEN MD (NPI 1497998587) is an individual specialist in Portland, Oregon, licensed in Oregon (MC08382) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1497998587

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameGARY A JACOBSENCredential: MD

Location Address6327 SW CAPITOL HWY. , SUITE C, PMB 211Portland, OR 97239

Mailing Address6327 Sw Capitol Hwy. , Suite C, Pmb 211Portland, OR 97239 · (503) 245-1274

Phone(503) 245-1274

Sole ProprietorYes

Enumeration DateApril 20, 2009

✔ NPI 1497998587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MC08382

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6327 SW CAPITOL HWY. , SUITE C, Portland, OR 97239

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Jacobsen's NPI number?

The NPI number for Gary Jacobsen is 1497998587. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Gary Jacobsen located?

Gary Jacobsen practices at 6327 SW Capitol Hwy. , Suite C Pmb 211, Portland, OR 97239. The listed phone number is (503) 245-1274.

What is Gary Jacobsen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gary Jacobsen was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.