Individual
JEFFERSON KAMAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3696
Mailing address
5123 SW 62ND AVE, PORTLAND, OR 97221-1170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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