JAY N CACKA

PORTLAND, OR
NPI1518265933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2011-03-09
Last Update Date2023-02-04
Business Address
JAY N CACKA QMHP
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Mailing Address
JAY N CACKA QMHP
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-680-3103
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