JORDAN MATHEW SHORT

CORVALLIS, OR
NPI1407288038
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
-- JORDAN MATHEW SHORT
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-757-1852
Mailing Address
-- JORDAN MATHEW SHORT
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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