JESSE DECKER

PORTLAND, OR
NPI1760012942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-01-16
Last Update Date2021-12-28
Business Address
JESSE DECKER
1109 NE 113TH AVE
PORTLAND, OR 97220-2213
Phone number: 503-830-6328
Mailing Address
JESSE DECKER
1109 NE 113TH AVE
PORTLAND, OR 97220-2213
Phone number:
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