JACK CHARLES SKILES

DALLAS, OR
NPI1902130511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-09-29
Last Update Date2009-09-29
Business Address
-- JACK CHARLES SKILES
182 S.W. ACADEMY ST. 304 ACADEMY BUILDING
DALLAS, OR 97338-1922
Phone number: 503-831-5971
Mailing Address
-- JACK CHARLES SKILES
182 SW ACADEMY ST SUITE 304
DALLAS, OR 97338-1922
Phone number: 503-831-5971
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