JACK L GAGNON

PORTLAND, OR
NPI1023642394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-02-26
Last Update Date2020-02-26
Business Address
JACK L GAGNON
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
Mailing Address
JACK L GAGNON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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