SHIRLEY CHARLEEN JACOBSON

PORTLAND, OR
NPI1770726440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  93-04-13)
Enumeration Date2009-04-10
Last Update Date2009-04-10
Business Address
Ms. SHIRLEY CHARLEEN JACOBSON
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
Mailing Address
Ms. SHIRLEY CHARLEEN JACOBSON
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1151
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