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1790986040
JASON A. MALCOM
PORTLAND, OR
NPI
1790986040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Mr. JASON A. MALCOM
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-234-7532
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Mailing Address
Mr. JASON A. MALCOM
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number:
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