JAMES LEE BRISCOE

GLADSTONE, OR
NPI1548678097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-03-52U)
Enumeration Date2014-07-29
Last Update Date2014-07-29
Business Address
Mr. JAMES LEE BRISCOE CADC IU
870 SE 82ND DR. BLDG. C
GLADSTONE, OR 97027
Phone number: 503-659-5515
Mailing Address
Mr. JAMES LEE BRISCOE CADC IU
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5409
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