EZRA ZAYNE WAKEFIELD

PORTLAND, OR
NPI1194469551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-04-22
Last Update Date2022-04-22
Business Address
EZRA ZAYNE WAKEFIELD
18766 SE STARK ST
PORTLAND, OR 97233-5330
Phone number: 503-243-2236
Mailing Address
EZRA ZAYNE WAKEFIELD
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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