MARQUIS MALCOM

PORTLAND, OR
NPI1902306517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-02-20
Last Update Date2018-02-20
Business Address
MARQUIS MALCOM
1314 SE TAYLOR ST
PORTLAND, OR 97214-2532
Phone number: 503-233-6727
Mailing Address
MARQUIS MALCOM
2020 SE POWELL BLVD
PORTLAND, OR 97202-2345
Phone number: 503-233-6121
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