JACQUELLE C DAVIS

PORTLAND, OR
NPI1144817586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
JACQUELLE C DAVIS
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Mailing Address
JACQUELLE C DAVIS
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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