JACKIE LYNN BAIN

PORTLAND, OR
NPI1134565138
Former NameJACKIE LYNN HOLLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-05-16
Last Update Date2013-05-16
Business Address
Ms. JACKIE LYNN BAIN B.S.
2521 SE 74TH AVE
PORTLAND, OR 97206-1150
Phone number: 503-726-3706
Mailing Address
Ms. JACKIE LYNN BAIN B.S.
2521 SE 74TH AVE
PORTLAND, OR 97206-1150
Phone number: 503-726-3706
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