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1508279787
JASON VANCE GERMANY
PORTLAND, OR
NPI
1508279787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 000000000)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- JASON VANCE GERMANY
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1192
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Mailing Address
-- JASON VANCE GERMANY
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 360-931-0391
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