JAMES BLAKE

TIGARD, OR
NPI1619746526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-12-20
Last Update Date2023-12-20
Business Address
JAMES BLAKE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3774
Mailing Address
JAMES BLAKE
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3774