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1194289520
JACKSON D GAMBEE
GRESHAM, OR
NPI
1194289520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 23-QMHPC-001294)
Enumeration Date
2019-01-30
Last Update Date
2024-05-20
Business Address
JACKSON D GAMBEE QMHP-C
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
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Mailing Address
JACKSON D GAMBEE QMHP-C
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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