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1245624709
JED JANSSEN
PORTLAND, OR
NPI
1245624709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-23
Last Update Date
2015-03-23
Business Address
-- JED JANSSEN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-546-8308
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Mailing Address
-- JED JANSSEN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number:
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