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1699372847
JESSY POWELL
HILLSBORO, OR
NPI
1699372847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000003506)
Enumeration Date
2020-10-01
Last Update Date
2020-10-01
Business Address
JESSY POWELL
1049 SW BASELINE ST
HILLSBORO, OR 97123-3835
Phone number: 503-465-2749
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Mailing Address
JESSY POWELL
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number: 503-465-2749
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