JACOB LUTZ

PORTLAND, OR
NPI1669160602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-04-27
Last Update Date2023-04-27
Business Address
JACOB LUTZ
9125 SW 55TH AVE
PORTLAND, OR 97219-5018
Phone number: 503-477-4622
Mailing Address
JACOB LUTZ
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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