JACK KEENAN

PORTLAND, OR
NPI1649641812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-14
Last Update Date2016-02-18
Business Address
JACK KEENAN
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236-2958
Phone number: 503-719-4535
Mailing Address
JACK KEENAN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 347-406-2922
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