JON LARRY SMITH

PORTLAND, OR
NPI1811043011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-01-28
Last Update Date2007-07-08
Business Address
Mr. JON LARRY SMITH qmha
5009 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-402-8116
Mailing Address
Mr. JON LARRY SMITH qmha
1521 SE ASH ST
PORTLAND, OR 97214-1449
Phone number: 503-232-5651
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