Individual
MR. JAMES EDGAR HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RESIDENTAL COUNSELOR
Contact information
Practice address
7214 NE 8TH AVE, PORTLAND, OR 97211-3528
(503) 289-0465
Mailing address
7214 NE 8TH AVE, PORTLAND, OR 97211-3528
(503) 289-0465
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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