Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary A Jacobsen, MD

Individual provider Specialist · NPI 1497998587

Gary A Jacobsen, MD is a Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6327 SW Capitol Hwy Ste C Pmb 211
Portland, OR 97239 Not confirmed with CMS for 17 years — call before visiting
Phone: (503) 245-1274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MC08382 (OR)

Record details

NPI number1497998587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2009
Last updated in NPPESApril 20, 2009

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