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JACOB MOSS
Social Worker
NPI: 1053621912Individual
Specialties, Licenses & Credentials
Social WorkerPrimary
Social Worker
Code: 104100000X
Contact & Hours
- Address
- 12636 SE STARK ST, PLAZA 125, BLDG J
PORTLAND, OR 97233 - Phone
- (503) 253-4600
Quick Facts
- NPI
- 1053621912
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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