JERRAY ANTHONY BRANNON

PORTLAND, OR
NPI1801940325
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- JERRAY ANTHONY BRANNON BS QMHA
131 NE 102ND AVE
PORTLAND, OR 97220-4167
Phone number: 503-253-6754
Mailing Address
-- JERRAY ANTHONY BRANNON BS QMHA
4715 NE 103RD AVE
PORTLAND, OR 97220-3343
Phone number: 503-309-7071