HUSANI H JACKSON

CORVALLIS, OR
NPI1508381914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
HUSANI H JACKSON
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 503-234-9591
Mailing Address
HUSANI H JACKSON
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: