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1629542055
JAN CLAY
PORTLAND, OR
NPI
1629542055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
JAN CLAY
7759 SE 72ND AVE
PORTLAND, OR 97206-7921
Phone number: 503-788-4500
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Mailing Address
JAN CLAY
7759 SE 72ND AVE
PORTLAND, OR 97206-7921
Phone number: 503-788-4500
Copy
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