Simone Jordan

NPI 1497937304 - Adult Companion - 372600000X

NPI Details
NPI 1497937304
Gender Female
Enumeration Date 12/03/2007
Last Updated 12/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3034 NE MLK
PORTLAND OR, 97212-3053, US
Phone (503) 238-0769
Fax
Business Location
PO BOX 8459
PORTLAND OR, 97207-8459, US
Phone
Fax
Toxanomy
Taxonomy Code 372600000X
License State
License Number
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According to our database, Simone Jordan NPI is 1497937304, taxonomy code is 372600000X Simone Jordan physically located at 3034 Ne Mlk, Portland OR, 97212-3053. NPI Number Simone Jordan has the Individual type.

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1497937304 NPI number is provided on an as is basis without warranty of any kind. 1497937304 is maintained by the National Plan & Provider Enumeration System. The contents of Simone Jordan are for informational purposes only.