Individual
JOHN FOREST MCGINNIS-FEAZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5725 NE PRESCOTT ST, PORTLAND, OR 97218-2275
(503) 402-8101
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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