JACK S BODILY

PORTLAND, OR
NPI1982103834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-02-06
Last Update Date2018-02-06
Business Address
JACK S BODILY
17720 NE HALSEY ST STE B
PORTLAND, OR 97230-6771
Phone number: 503-654-7654
Mailing Address
JACK S BODILY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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