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1972896645
JASON S LEWELLING
TIGARD, OR
NPI
1972896645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-27
Last Update Date
2011-05-27
Business Address
Mr. JASON S LEWELLING
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-519-9992
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Mailing Address
Mr. JASON S LEWELLING
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number:
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