JAKE SULLIVAN

PORTLAND, OR
NPI1215754387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-09-20
Last Update Date2026-06-19
Business Address
JAKE SULLIVAN
1235 SE MORRISON ST
PORTLAND, OR 97214-2462
Phone number: 503-746-3373
Mailing Address
JAKE SULLIVAN
7346 NE SANDY BLVD
PORTLAND, OR 97213-5775
Phone number: 503-746-3373
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