MITCHEL JAMES DAULT

PORTLAND, OR
NPI1497251730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2018-04-04
Last Update Date2018-04-04
Business Address
MITCHEL JAMES DAULT
018 SW BOUNDARY CT
PORTLAND, OR 97239-3939
Phone number: 503-222-9661
Mailing Address
MITCHEL JAMES DAULT
018 SW BOUNDARY CT
PORTLAND, OR 97239-3939
Phone number: 503-222-9661