JOHN MCCOLLUM

PORTLAND, OR
NPI1083036073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  7727)
Enumeration Date2014-01-10
Last Update Date2014-01-10
Business Address
Mr. JOHN MCCOLLUM
4259 NE BROADWAY ST
PORTLAND, OR 97213-1421
Phone number: 503-358-3506
Mailing Address
Mr. JOHN MCCOLLUM
4259 NE BROADWAY ST
PORTLAND, OR 97213-1421
Phone number: 503-358-3506
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