JACK POWELL

PORTLAND, OR
NPI1225165954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- JACK POWELL
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206-1666
Phone number: 503-238-0705
Mailing Address
-- JACK POWELL
1521 SE 120TH AVE
PORTLAND, OR 97216-3936
Phone number:
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