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1104221563
JASON ROBERT BAUER
PORTLAND, OR
NPI
1104221563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2014-10-28
Last Update Date
2020-08-31
Business Address
JASON ROBERT BAUER
9115 SW OLESON RD STE 100
PORTLAND, OR 97223-6876
Phone number: 971-236-0915
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Mailing Address
JASON ROBERT BAUER
9115 SW OLESON RD STE 100
PORTLAND, OR 97223-6876
Phone number: 971-236-0915
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