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1437899465
JACOB LAZEN
PORTLAND, OR
NPI
1437899465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A14962)
Enumeration Date
2022-03-29
Last Update Date
2024-03-07
Business Address
JACOB LAZEN
700 NE MULTNOMAH ST STE 275
PORTLAND, OR 97232-4103
Phone number: 503-729-1380
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Mailing Address
JACOB LAZEN
700 NE MULTNOMAH ST STE 275
PORTLAND, OR 97232-4103
Phone number: 503-729-1380
Copy
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