JIM WAYNE FIELDS

TIGARD, OR
NPI1972024214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-17-058)
Enumeration Date2017-06-27
Last Update Date2017-06-27
Business Address
JIM WAYNE FIELDS
10763 SW GREENBURG RD
TIGARD, OR 97223-5492
Phone number: 503-684-8159
Mailing Address
JIM WAYNE FIELDS
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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