COBALT JACE KUBU

PORTLAND, OR
NPI1417835729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-08-25
Last Update Date2025-08-25
Business Address
COBALT JACE KUBU
12511 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-761-2580
Mailing Address
COBALT JACE KUBU
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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