JACOB RUSSELL MOSS

PORTLAND, OR
NPI1053621912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2010-10-13
Last Update Date2014-07-24
Business Address
-- JACOB RUSSELL MOSS
12636 SE STARK ST PLAZA 125, BLDG J
PORTLAND, OR 97233-1058
Phone number: 503-253-4600
Mailing Address
-- JACOB RUSSELL MOSS
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 801-233-5405
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