JAYNE LYNNE BLAZEVICH

BEAVERTON, OR
NPI1407185507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-12-18
Last Update Date2009-12-18
Business Address
-- JAYNE LYNNE BLAZEVICH
9700 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005-3306
Phone number: 503-626-9494
Mailing Address
-- JAYNE LYNNE BLAZEVICH
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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