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1255139176
JONATHAN LEE
PORTLAND, OR
NPI
1255139176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 110357)
Enumeration Date
2025-03-05
Last Update Date
2025-04-07
Business Address
JONATHAN LEE
1616 E BURNSIDE ST
PORTLAND, OR 97214-1453
Phone number: 971-271-6066
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Mailing Address
JONATHAN LEE
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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