Zachary Klipstein

NPI 1912252271 - Adult Companion - 372600000X

NPI Details
NPI 1912252271
Gender Male
Enumeration Date 07/23/2012
Last Updated 07/23/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2330 NE SISKIYOU ST
PORTLAND OR, 97212-2471, US
Phone (503) 528-0757
Fax (503) 528-0764
Business Location
PO BOX 8459
PORTLAND OR, 97207-8459, US
Phone (503) 238-0769
Fax (503) 552-6208
Toxanomy
Taxonomy Code 372600000X
License State
License Number
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According to our database, Zachary Klipstein NPI is 1912252271, taxonomy code is 372600000X Zachary Klipstein physically located at 2330 Ne Siskiyou St, Portland OR, 97212-2471. NPI Number Zachary Klipstein has the Individual type.

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1912252271 NPI number is provided on an as is basis without warranty of any kind. 1912252271 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Klipstein are for informational purposes only.