CHAZ CHAVON BALKUM

PORTLAND, OR
NPI1104554286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
CHAZ CHAVON BALKUM
7621 N PORTSMOUTH AVE
PORTLAND, OR 97203-5953
Phone number: 503-240-7599
Mailing Address
CHAZ CHAVON BALKUM
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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