JONATHAN SCOTT

PORTLAND, OR
NPI1215272893
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  19382)
Enumeration Date2012-12-07
Last Update Date2012-12-07
Business Address
-- JONATHAN SCOTT LMT
6880 SE DIVISION ST
PORTLAND, OR 97206-1269
Phone number: 706-676-7708
Mailing Address
-- JONATHAN SCOTT LMT
6880 SE DIVISION ST
PORTLAND, OR 97206-1269
Phone number:
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