Charles Vawter

NPI 1104008010 - Adult Companion - 372600000X

NPI Details
NPI 1104008010
Gender Male
Enumeration Date 12/03/2007
Last Updated 12/03/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3034 NE MLK
PORTLAND OR, 97212-3053, US
Phone (503) 238-0769
Business Location
PO BOX 8459
PORTLAND OR, 97207-8459, US
Taxonomy Code 372600000X
License State
License Number
Remove 1104008010 NPI Number

According to our database, Charles Vawter NPI is 1104008010, taxonomy code is 372600000X Charles Vawter physically located at 3034 Ne Mlk, Portland OR, 97212-3053. NPI Number Charles Vawter has the Individual type.

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1104008010 NPI number is provided on an as is basis without warranty of any kind. 1104008010 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Vawter are for informational purposes only.