KIMBERLY L JACKSON

PORTLAND, OR
NPI1922200823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-06-03
Last Update Date2007-07-08
Business Address
Ms. KIMBERLY L JACKSON
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Mailing Address
Ms. KIMBERLY L JACKSON
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number:
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