Jacob Perry MA

NPI 1013274257 - Counselor - 101Y00000X

NPI Details
NPI 1013274257
Gender Male
Enumeration Date 04/12/2012
Last Updated 04/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1312 SW WASHINGTON ST
PORTLAND OR, 97205-2327, US
Phone (503) 535-1151
Fax
Business Location
PO BOX 3007
DE PAUL TREATMENT CENTERS
PORTLAND OR, 97208, US
Phone (503) 535-1151
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Jacob Perry MA NPI is 1013274257, taxonomy code is 101Y00000X Jacob Perry MA physically located at 1312 Sw Washington St, Portland OR, 97205-2327. NPI Number Jacob Perry MA has the Individual type.

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1013274257 NPI number is provided on an as is basis without warranty of any kind. 1013274257 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Perry MA are for informational purposes only.