Individual
JACE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 SW 5TH AVE STE 800, PORTLAND, OR 97204-1812
(503) 278-3846
Mailing address
208 SW 5TH AVE STE 800, PORTLAND, OR 97204-1812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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