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Individual

ANTONIO JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 SW 5TH AVE STE 3150, PORTLAND, OR 97204-3656
(503) 901-4411
Mailing address
111 SW 5TH AVE STE 3150, PORTLAND, OR 97204-3656
(503) 901-4411

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/08/2023
Last updated
08/13/2025
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