JACOB RAY

COBURG, OR
NPI1528814902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-3929)
Enumeration Date2024-04-26
Last Update Date2024-04-26
Business Address
JACOB RAY
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-366-6293
Mailing Address
JACOB RAY
2924 STARK ST
EUGENE, OR 97404-1843
Phone number: 541-729-9260
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