JEFFREY ROBERT WOOTEN

PORTLAND, OR
NPI1649325887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
Mr. JEFFREY ROBERT WOOTEN
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-228-7134
Mailing Address
Mr. JEFFREY ROBERT WOOTEN
6620 NE 6TH AVE APT 8
PORTLAND, OR 97211-3065
Phone number: 503-978-1738
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