JACK PHILIP PORTORSNOK

TACOMA, WA
NPI1114709144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: WA  cb61440913)
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
JACK PHILIP PORTORSNOK
3680 S CEDAR ST
TACOMA, WA 98409-5728
Phone number: 206-313-8840
Mailing Address
JACK PHILIP PORTORSNOK
5320 204TH STREET CT E
SPANAWAY, WA 98387-5787
Phone number: 253-361-5055
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