JACOB NEEDHAM

PORTLAND, OR
NPI1992153522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
-- JACOB NEEDHAM BA
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
Mailing Address
-- JACOB NEEDHAM BA
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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