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1174373963
JORDAN LAZARUS
PORTLAND, OR
NPI
1174373963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
JORDAN LAZARUS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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Mailing Address
JORDAN LAZARUS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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