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Individual

CORY PAUL JARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2270 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-5916
(503) 963-8337
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/22/2023
Last updated
03/22/2023
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