JEREMIAH ANDREW MANES

PORTLAND, OR
NPI1447074836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHAR-5647)
Enumeration Date2024-11-12
Last Update Date2024-11-12
Business Address
JEREMIAH ANDREW MANES QMHA-R
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
Mailing Address
JEREMIAH ANDREW MANES QMHA-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044