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1275114084
JASON SHAD
PORTLAND, OR
NPI
1275114084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 21-CRM-417)
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
JASON SHAD CRM, PSS
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 505-535-1151
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Mailing Address
JASON SHAD CRM, PSS
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1151
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