JACLYN MAX

GRESHAM, OR
NPI1821811225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-4370)
Enumeration Date2024-11-04
Last Update Date2024-11-04
Business Address
JACLYN MAX
21440 SE STARK ST
GRESHAM, OR 97030-2024
Phone number: 971-427-0466
Mailing Address
JACLYN MAX
11010 SE DIVISION ST STE 200
PORTLAND, OR 97266-6400
Phone number:
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