Kraig Warren Jacobson
Allergist & Immunologist
1488 Oak St
Eugene
, Oregon 97401-4043
Kraig Warren Jacobson
Allergist & Immunologist
1488 Oak St
Eugene
, Oregon 97401-4043
(541) 344-6176
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Kraig Warren Jacobson
- 1488 Oak St
- Eugene, OR
- Zip : 97401-4043
- Fax : (541) 344-6176
- Phone : (541) 683-1577
Second Address
- Kraig Warren Jacobson
- 1488 Oak St
- Eugene, OR
- Zip : 97401-4043
- Fax : (541) 344-6176
- Phone : (541) 683-1577
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 09759 | OR |
National Provider Identifier
| NPI | 1255323515 |
|---|---|
| Provider Name | Kraig Warren Jacobson |
| First Address | Eugene, OR 97401-4043 |
| Second Address | Eugene, OR 97401-4043 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2005 |
| Last Update Date | 28/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 234468 | (05) | OR |
| E03504 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.