JORDAN FOWLDS

EUGENE, OR
NPI1326701558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-10-14
Last Update Date2022-09-12
Business Address
JORDAN FOWLDS
1040 OAK ST
EUGENE, OR 97401-3132
Phone number: 541-343-6987
Mailing Address
JORDAN FOWLDS
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number: 541-393-0777
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