JONATHAN IRVING

PORTLAND, OR
NPI1396194650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-06-08
Last Update Date2016-06-08
Business Address
-- JONATHAN IRVING
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
Mailing Address
-- JONATHAN IRVING
111 BARKER AVE
OREGON CITY, OR 97045-3421
Phone number:
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