IndividualActive
Ben Jacobson, M.D.
NPI 1336192574 · Diagnostic Radiology Physician · Portland, OR
Provider details
- NPI number
- 1336192574
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A72246 (CA)
Mailing address
Po Box 25184
Portland, OR 97298-0184
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2007-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.