JASON UTHENWOLDT

PORTLAND, OR
NPI1972197366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-25
Last Update Date2021-02-25
Business Address
JASON UTHENWOLDT
4411 NE EMERSON ST
PORTLAND, OR 97218-1537
Phone number: 503-535-1153
Mailing Address
JASON UTHENWOLDT
4411 NE EMERSON ST
PORTLAND, OR 97218-1537
Phone number:
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