JACOB LAZEN

PORTLAND, OR
NPI1437899465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  A14962)
Enumeration Date2022-03-29
Last Update Date2024-03-07
Business Address
JACOB LAZEN
700 NE MULTNOMAH ST STE 275
PORTLAND, OR 97232-4103
Phone number: 503-729-1380
Mailing Address
JACOB LAZEN
700 NE MULTNOMAH ST STE 275
PORTLAND, OR 97232-4103
Phone number: 503-729-1380