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JACK S BODILY
Mental Health Counselor
NPI: 1982103834Individual
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
Contact & Hours
- Address
- 17720 NE HALSEY ST STE B
PORTLAND, OR 97230 - Phone
- (503) 654-7654
Quick Facts
- NPI
- 1982103834
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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