JAY TAVIS

PORTLAND, OR
NPI1508680182
Former NameJAY TAVIS GRIEVE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-11-11
Last Update Date2024-11-11
Business Address
JAY TAVIS
7621 N PORTSMOUTH AVE
PORTLAND, OR 97203-5953
Phone number: 503-240-7599
Mailing Address
JAY TAVIS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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