JASON BOURGEOIS

PORTLAND, OR
NPI1013565456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-29
Last Update Date2019-08-29
Business Address
JASON BOURGEOIS
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Mailing Address
JASON BOURGEOIS
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581