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1851107759
NIKOLAS PRESCOTT JAEGER
PORTLAND, OR
NPI
1851107759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
NIKOLAS PRESCOTT JAEGER
2270 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-5916
Phone number: 503-963-8337
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Mailing Address
NIKOLAS PRESCOTT JAEGER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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