JOHN JENNINGS

PORTLAND, OR
NPI1770784274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-R-10)
Enumeration Date2007-05-30
Last Update Date2011-05-31
Business Address
-- JOHN JENNINGS CADC II
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-230-9654
Mailing Address
-- JOHN JENNINGS CADC II
2425 SW 171ST PL
BEAVERTON, OR 97006-4300
Phone number: 415-309-4500
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