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1356953855
JORDAN CAINES
TIGARD, OR
NPI
1356953855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
JORDAN CAINES
8915 SW CENTER ST. TIGARD
TIGARD, OR 97223
Phone number: 503-726-3690
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Mailing Address
JORDAN CAINES
1720 SE MAIN ST APT 3
PORTLAND, OR 97214-3765
Phone number: 310-467-1793
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