Sandra Wilborn MS, BA

NPI 1710041744 - Adult Companion - 372600000X

NPI Details
NPI 1710041744
Gender Female
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2130 SW 5TH AVE STE 210
PORTLAND OR, 97201-4938, US
Phone (503) 238-0769
Fax (503) 552-6208
Business Location
3722 SE 15TH AVE APT 3
PORTLAND OR, 97202-3856, US
Phone (503) 927-8159
Taxonomy Code 372600000X
License State
License Number
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According to our database, Sandra Wilborn MS, BA NPI is 1710041744, taxonomy code is 372600000X Sandra Wilborn MS, BA physically located at 2130 Sw 5th Ave Ste 210, Portland OR, 97201-4938. NPI Number Sandra Wilborn MS, BA has the Individual type.

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1710041744 NPI number is provided on an as is basis without warranty of any kind. 1710041744 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Wilborn MS, BA are for informational purposes only.