JACOB LUKE COLLING

PORTLAND, OR
NPI1770139065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-08-13
Last Update Date2019-08-21
Business Address
JACOB LUKE COLLING QMHA
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
JACOB LUKE COLLING QMHA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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