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1699549626
JAKE PARKER
PORTLAND, OR
NPI
1699549626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 110012)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
JAKE PARKER PSS
2236 SE BELMONT ST
PORTLAND, OR 97214-2817
Phone number: 503-445-7699
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Mailing Address
JAKE PARKER PSS
2236 SE BELMONT ST
PORTLAND, OR 97214-2817
Phone number:
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