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1700904554
JASON GILES
TIGARD, OR
NPI
1700904554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3718)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- JASON GILES LCSW
8770 SW SCOFFINS ST
TIGARD, OR 97223-6226
Phone number: 503-684-1424
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Mailing Address
-- JASON GILES LCSW
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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