STUART MARK JACKSON

PORTLAND, OR
NPI1013939453
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3769)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Mr. STUART MARK JACKSON LCSW
5331 SW MACADAM AVE SUITE 363
PORTLAND, OR 97239-6104
Phone number: 503-803-1250
Mailing Address
Mr. STUART MARK JACKSON LCSW
5331 SW MACADAM AVE SUITE 363
PORTLAND, OR 97239-6104
Phone number: 503-803-1250
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