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1063965937
JORDAN MOODY
PORTLAND, OR
NPI
1063965937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-27
Last Update Date
2021-01-21
Business Address
JORDAN MOODY
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 541-561-8737
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Mailing Address
JORDAN MOODY
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 541-561-8737
Copy
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