DAVID JACOBUS

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1174071153

Practice Address

686 NW 9TH ST
Ontario, OR 97914

Phone: (541) 889-9167

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes -

Frequently Asked Questions

NPI 1174071153 is the National Provider Identifier for DAVID JACOBUS, a Substance Abuse Rehabilitation Facility provider located in Ontario, OR. This NPI was enumerated on September 19, 2016.
DAVID JACOBUS practices at 686 NW 9TH ST, Ontario, OR 97914.

Quick Facts

NPI
1174071153
Type
Individual
Enumerated
Sep 19, 2016
Last Updated
Sep 19, 2016

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