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Individual

JORGE LUIS PEREZ JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(971) 378-0367
Mailing address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(971) 378-0367
(503) 974-9679

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/12/2023
Last updated
07/12/2023
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