DR. ERIC S. JACOBSON (NPI# 1861530198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861530198 |
| Entity Type | Individual |
| Full Name | DR. ERIC S. JACOBSON |
| Credential | M.D. |
| Practice Address |
19300 Sw 65th Ave Laboratory Tualatin OR 97062-7706 |
| Mailing Address |
5545 Sw Hamilton St Portland OR 97221-2067 |
| Practice Telephone | 5036922499 |
| Practice Fax Number | 5036922638 |
| Mailing Telephone | 5032973665 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD08694 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 050273 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1336266170 | Eric J Jacobson | Emergency Medicine | 7149 Blacksheep Run, Fort Campbell, KY 42223-5111 | 2007-03-26 |
| 1477699692 | Eric Jacobson | Physical Medicine & Rehabilitation | 5822 Broadway, Bronx, NY 10463-2454 | 2007-01-29 |
| 1962594333 | Eric Jacobson | Art Therapist | 7 Windsor Pl, Brooklyn, NY 11215-5610 | 2006-09-29 |
| 1093759151 | Eric Dudley Jacobson | Radiology | 809 West Stetson Avenue Suite B, Apex Radiology Medical Group, Inc, Hemet, CA 92543 | 2006-06-16 |
| 1932691862 | Eric Scott Jacobson | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2018-06-06 |
| 1205284098 | Eric Stefan Jacobson | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2016-06-02 |
| 1043617434 | Eric K Jacobson | Physician Assistant | 390 River Street, Springfield, VT 05156-2226 | 2014-12-01 |
| 1841332715 | Eric Jacobson | Psychologist | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2007-02-13 |
| 1497762397 | Eric M Jacobson | Psychiatry & Neurology | 23625 Holman Hwy, Monterey, CA 93940-5902 | 2006-08-02 |
| Street Address |
19300 SW 65TH AVE LABORATORY |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417392 | Paul R Ash | Psychiatry & Neurology | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2005-06-14 |
| 1689217044 | Jacob White | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-17 |
| 1679114011 | Jeri Leanne Shanahan | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-07 |
| 1255840161 | Cinthia Marie Adair | Speech-Language Pathologist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2017-09-22 |
| 1609311059 | Olivia Terris | Dietitian, Registered | 19300 Sw 65th Ave, Cardiac and Pulmonary Rehab, Tualatin, OR 97062-7706 | 2016-12-21 |
| 1568826386 | Kathryn Renee Foutch | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2016-04-07 |
| 1497129035 | Job Anderson | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2015-11-19 |
| 1750775698 | Jessica Lorenz | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2015-03-27 |
| 1528487956 | Raelin Fullmer I | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2014-04-14 |
| 1497170849 | Legacy Meridan Park Hospital | Pharmacy | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295299 | Stephen Kessler | Pathology | 5283 W Sunset Dr, Lake Oswego, OR 97035-4257 | 2017-02-28 |
| 1538220116 | Lawrence Konick | Pathology | 665 Winter Street, Salem, OR 97301-3934 | 2006-12-13 |
| 1073546909 | George Thomas | Pathology | 898 Cornell St, Lake Oswego, OR 97034-4716 | 2006-07-07 |
| 1417420720 | Esmeralda Celia Marginean | Pathology | 4706 Ne Glisan St, Portland, OR 97213-2932 | 2019-01-09 |
| 1538555149 | Melanie Hakar | Pathology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2015-04-09 |
| 1932541414 | Vanderlene Kung | Pathology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2013-07-24 |
| 1104052653 | Mazdak A Khalighi | Pathology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2009-06-10 |
| 1447407689 | Alicia Fonseca Liang | Pathology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-08-19 |
| 1851508550 | Jody Elizabeth Hooper | Pathology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-05-16 |
| 1598978579 | Harmanjatinder Singh Sekhon | Pathology | 3181 Sw Sam Jackson Park Rd, Ohsu, Dept. of Pathology, Mailcode L113, Portland, OR 97239-3011 | 2007-05-07 |
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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.