JAKE MOXLEY

PORTLAND, OR
NPI1356166037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-11-18
Last Update Date2024-11-18
Business Address
JAKE MOXLEY CADC I
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-2821
Phone number: 503-535-1150
Mailing Address
JAKE MOXLEY CADC I
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-2821
Phone number:
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