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1922379577
JERROD L RAGSDALE
PORTLAND, OR
NPI
1922379577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
Mr. JERROD L RAGSDALE
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
Mr. JERROD L RAGSDALE
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Copy
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