JASON T MORTENSON

GRANTS PASS, OR
NPI1780950006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-03-30
Last Update Date2012-03-30
Business Address
MR. JASON T MORTENSON
210 TACOMA ST
GRANTS PASS, OR 97526-9370
Phone number: 541-476-3302
Mailing Address
MR. JASON T MORTENSON
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number:
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