Jack L Gagnon
Jack L Gagnon is a Case Manager/Care Coordinator in Portland, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
13317 SE Powell BlvdPortland, OR 97236-3335
Phone: (503) 760-9606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1023642394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 26, 2020 |
| Last updated in NPPES | February 26, 2020 |
| Certification date | February 26, 2020 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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