Jacob Russell Moss
Jacob Russell Moss is a Social Worker in Portland, Oregon. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
12636 SE Stark St Plaza 125 Bldg JPortland, OR 97233-1058
Phone: (503) 253-4600
Fax: (503) 253-4609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1053621912 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 13, 2010 |
| Last updated in NPPES | July 24, 2014 |
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