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1063050763
JEFFREY T HOLM
PORTLAND, OR
NPI
1063050763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
JEFFREY T HOLM
5120 SE 118TH AVE
PORTLAND, OR 97266-3250
Phone number: 503-762-3431
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Mailing Address
JEFFREY T HOLM
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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