JACK LEMUEL DAVIDSON

PORTLAND, OR
NPI1245663608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2013-08-20
Last Update Date2013-08-21
Business Address
Mr. JACK LEMUEL DAVIDSON
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
Mailing Address
Mr. JACK LEMUEL DAVIDSON
3710 N ARLINGTON PL
PORTLAND, OR 97217-7212
Phone number: 503-432-3975