THEODORE TRUESDELL

PORTLAND, OR
NPI1144581414
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies101Y00000X Counselor
Enumeration Date2012-06-04
Last Update Date2013-11-04
Business Address
-- THEODORE TRUESDELL
310 NW FLANDERS ST
PORTLAND, OR 97209-3941
Phone number: 503-827-3949
Mailing Address
-- THEODORE TRUESDELL
310 NW FLANDERS ST
PORTLAND, OR 97209-3941
Phone number: 503-827-3949