JASON LEE MOORE

PORTLAND, OR
NPI1750958245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-06-04
Last Update Date2021-06-04
Business Address
JASON LEE MOORE
1030 NE COUCH ST
PORTLAND, OR 97232-3067
Phone number: 503-239-8400
Mailing Address
JASON LEE MOORE
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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