JEREMY RANDOLPH NAISH

PORTLAND, OR
NPI1720667702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-06
Last Update Date2021-04-06
Business Address
JEREMY RANDOLPH NAISH CADC-R
1122 NE 122ND AVE STE A200
PORTLAND, OR 97230-2083
Phone number: 503-594-4766
Mailing Address
JEREMY RANDOLPH NAISH CADC-R
1122 NE 122ND AVE STE A200
PORTLAND, OR 97230-2083
Phone number: 503-594-4766
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