JACOB DILLA

PORTLAND, OR
NPI1407390230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
-- JACOB DILLA
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
-- JACOB DILLA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: