NPI 1508918848

Robert Leonard Jacques, MD

Practitioner Internal Medicine Physician Florence, OR

Practice location

Address: 400 9th St, Florence, OR 97439-7398
Phone: (541) 997-8412
Fax: (541) 902-1320
Mailing address: 5419 S.W. Scholls Fery Road, Portland, OR 97225

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD19329 (OR)

Other Internal Medicine providers in Oregon →

Registry record

NPI: 1508918848
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2007
Record last updated: 14 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.