Individual
JARED LOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
06/29/2022
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