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 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 1497937304 NPI Number

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.

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.