JERRY ALLEN BUCK

PORTLAND, OR
NPI1043840762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  26-QMHA-R-8338)
Enumeration Date2020-01-22
Last Update Date2026-07-29
Business Address
JERRY ALLEN BUCK
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
Mailing Address
JERRY ALLEN BUCK
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 971-217-9008
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