ELIJAH JAMES BOONE

PORTLAND, OR
NPI1407468085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-08-17
Last Update Date2020-08-17
Business Address
ELIJAH JAMES BOONE
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
Mailing Address
ELIJAH JAMES BOONE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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