Kimberly Rideout

NPI 1720276363 - Adult Companion - 372600000X

NPI Details
NPI 1720276363
Gender Female
Enumeration Date 10/09/2007
Last Updated 10/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2330 NE SISKIYOU ST
PORTLAND OR, 97212-2471, US
Phone (502) 528-0757
Fax
Business Location
20691 NW TRAILWALK DR
B 311
BEAVERTON OR, 97006-9003, US
Phone
Fax
Toxanomy
Taxonomy Code 372600000X
License State
License Number
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According to our database, Kimberly Rideout NPI is 1720276363, taxonomy code is 372600000X Kimberly Rideout physically located at 2330 Ne Siskiyou St, Portland OR, 97212-2471. NPI Number Kimberly Rideout has the Individual type.

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1720276363 NPI number is provided on an as is basis without warranty of any kind. 1720276363 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Rideout are for informational purposes only.