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1346092202
JACOB PAUL MEDEARIS
PORTLAND, OR
NPI
1346092202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
JACOB PAUL MEDEARIS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
JACOB PAUL MEDEARIS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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