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1083130074
JAMES JACKSON
PORTLAND, OR
NPI
1083130074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-21
Last Update Date
2017-08-21
Business Address
-- JAMES JACKSON QMHA
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- JAMES JACKSON QMHA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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