JASON LEE WILBURN

KEIZER, OR
NPI1932695731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  180532)
Enumeration Date2018-07-03
Last Update Date2018-07-03
Business Address
Mr. JASON LEE WILBURN CADC 1, CRM
3793 RIVER RD N
KEIZER, OR 97303-4827
Phone number: 503-304-7002
Mailing Address
Mr. JASON LEE WILBURN CADC 1, CRM
3793 RIVER RD N
KEIZER, OR 97303-4827
Phone number: 503-304-7002
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