JAKE DANIEL HAROLD

MCMINNVILLE, OR
NPI1710416268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2017-06-08
Last Update Date2022-08-11
Business Address
Mr. JAKE DANIEL HAROLD
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128-3933
Phone number: 503-474-6816
Mailing Address
Mr. JAKE DANIEL HAROLD
3945 SW 96TH AVE
PORTLAND, OR 97225-2520
Phone number: 951-870-9910