JACK BOUBA

PORTLAND, OR
NPI1891589644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2025-04-07
Last Update Date2025-04-07
Business Address
JACK BOUBA
18417 SE OAK ST
PORTLAND, OR 97233-4850
Phone number: 971-727-8026
Mailing Address
JACK BOUBA
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581