JESSE RAINER BLOODGOOD

PORTLAND, OR
NPI1629859707
Former NameCARMEN MARIE ELLINGSWORTH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-10-13
Last Update Date2023-10-13
Business Address
JESSE RAINER BLOODGOOD
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-763-9606
Mailing Address
JESSE RAINER BLOODGOOD
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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