JASON UTHENWOLDT

VANCOUVER, WA
NPI1972197366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-25
Last Update Date2025-05-12
Business Address
JASON UTHENWOLDT
7105 NE 40TH ST
VANCOUVER, WA 98661-3058
Phone number: 503-535-1153
Mailing Address
JASON UTHENWOLDT
4411 NE EMERSON ST
PORTLAND, OR 97218-1537
Phone number: