KACY JO DESROSIERS

PORTLAND, OR
NPI1548854698
Former NameKACY JO VOCKRODT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-03-01
Last Update Date2021-03-01
Business Address
KACY JO DESROSIERS
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-889-2500
Mailing Address
KACY JO DESROSIERS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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