JERRY LEE LESTER SWINGER

PORTLAND, OR
NPI1114768348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-4005)
Enumeration Date2024-06-03
Last Update Date2024-06-03
Business Address
JERRY LEE LESTER SWINGER CADC-R
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-242-8544
Mailing Address
JERRY LEE LESTER SWINGER CADC-R
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-242-8544
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