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1386464287
JESSE ANGEL JIMENEZ
PORTLAND, OR
NPI
1386464287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
Mr. JESSE ANGEL JIMENEZ CASAC
2235 NE SANDY BLVD
PORTLAND, OR 97232-2859
Phone number: 971-204-9483
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Mailing Address
Mr. JESSE ANGEL JIMENEZ CASAC
2235 NE SANDY BLVD
PORTLAND, OR 97232-2859
Phone number: 503-470-9844
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