JEDIDIAH VERNON HANE

PORTLAND, OR
NPI1306554977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-11-11
Last Update Date2022-11-11
Business Address
JEDIDIAH VERNON HANE
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
Mailing Address
JEDIDIAH VERNON HANE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: