PAUL JACOBSEN (NPI# 1255391819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255391819 |
| Entity Type | Individual |
| Full Name | PAUL JACOBSEN |
| Credential | M.D. |
| Practice Address |
505 Ne 87th Ave Ste. 460 Vancouver WA 98664-1989 |
| Practice Telephone | 3602568865 |
| Practice Fax Number | 3602567127 |
| Mailing Telephone | 3602568865 |
| Mailing Fax Number | 3602567127 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD00026501 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8150039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770789661 | Paul Frederick Jacobsen | Otolaryngology | 12462 Putnam St., Suite 501, Whittier, CA 60302 | 2007-06-26 |
| 1700978715 | Paul L. Jacobsen | Anesthesiology | 8303 Dodge St, Omaha, NE 68114-4108 | 2006-09-28 |
| 1720007446 | Paul B Jacobsen | Psychologist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2006-07-19 |
| 1982631404 | Paul Eric Jacobsen | Family Medicine | 152 Ne 167th St, Suite 102, North Miami Beach, FL 33162-3400 | 2006-06-28 |
| Street Address |
505 NE 87TH AVE STE. 460 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536656 | Janet Mendel-hartvig | Radiology | 505 Ne 87th Ave, Ste Ll50, Vancouver, WA 98664-1989 | 2005-08-23 |
| 1164964938 | Laura Atack | Pharmacist | 505 Ne 87th Ave, Suite 320, Vancouver, WA 98664-1989 | 2016-11-10 |
| 1275075012 | Laura Erlewine | Pharmacist | 505 Ne 87th Ave, Suite 320, Vancouver, WA 98664-1989 | 2016-11-10 |
| 1932560067 | Tina Lynn Louie Peterson | Nurse Anesthetist, Certified Registered | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2016-03-17 |
| 1073996823 | Grace Deng | Physician Assistant | 505 Ne 87th Ave, Building A Suite 250, Vancouver, WA 98664-1989 | 2015-06-29 |
| 1184023939 | Austin Mckittrick | Genetic Counselor, MS | 505 Ne 87th Ave, Suite 160, Vancouver, WA 98664-1989 | 2014-08-18 |
| 1386058386 | Matthew D Lail | Registered Nurse | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2014-06-17 |
| 1699026716 | Charles Christopher Daniels | Nurse Anesthetist, Certified Registered | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2012-09-28 |
| 1942563960 | Shweta Duggirala | Specialist | 505 Ne 87th Ave, Suite 160, Vancouver, WA 98664-1989 | 2012-06-25 |
| 1700158110 | Eye Care Specialists of Vancouver, PC | Ophthalmology | 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664-1989 | 2012-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1174898381 | Joseph David Nickolas Freeburg | Psychiatry & Neurology | 2211 Ne 139th St Ste 3e120, Vancouver, WA 98686-2742 | 2012-03-21 |
| 1215218102 | Timberline Rehabilitation Services, Ps | Psychiatry & Neurology | 920 Ne 112th Avenue, Suite 103, Vancouver, WA 98684-5104 | 2011-09-06 |
| 1003921784 | Marketa Van Den Elzen | Psychiatry & Neurology | 2102-1199 Mainaside Cres., Vancouver, BC V6Z2Y2 | 2006-08-20 |
| 1437191996 | Victor M Erlich | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2006-06-11 |
| 1528026051 | Michael John Nelson | Psychiatry & Neurology | 501 Se 172nd Ave Ste 220, Vancouver, WA 98684-9542 | 2006-05-03 |
| 1316935752 | Cathleen J Miller | Psychiatry & Neurology | 2211 E Mill Plain Blvd, Kaiser Permanente Vancouver Medical Office, Vancouver, WA 98661-4329 | 2005-10-10 |
| 1063894541 | Kwo Wei David Ho | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2015-06-22 |
| 1225423064 | Shereen Lee Seyal | Psychiatry & Neurology | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-03-30 |
| 1336543560 | Providence Health & Services - Oregon | Psychiatry & Neurology | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 | 2014-10-17 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.