JACOB WHITE

PORTLAND, OR
NPI1043493737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-12-17
Last Update Date2007-12-17
Business Address
-- JACOB WHITE
5120 SE 118TH AVE
PORTLAND, OR 97266-3250
Phone number: 503-238-0769
Mailing Address
-- JACOB WHITE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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