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1013274257
JACOB PERRY
PORTLAND, OR
NPI
1013274257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-04-12
Last Update Date
2012-04-12
Business Address
Mr. JACOB PERRY MA
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
Mr. JACOB PERRY MA
PO BOX 3007 DE PAUL TREATMENT CENTERS
PORTLAND, OR 97208
Phone number: 503-535-1151
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