JACOB E SKOKAN

PORTLAND, OR
NPI1437278736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  08-08-39)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-28
Last Update Date2011-01-20
Business Address
-- JACOB E SKOKAN CADC I
231 SE 12TH AVENUE
PORTLAND, OR 97214-1342
Phone number: 503-546-9975
Mailing Address
-- JACOB E SKOKAN CADC I
232 NW 6TH AVENUE
PORTLAND, OR 97209-3609
Phone number: 503-200-3923