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1295093631
ANDREW AUSTIN WAY
PORTLAND, OR
NPI
1295093631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
-- ANDREW AUSTIN WAY
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-284-4249
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Mailing Address
-- ANDREW AUSTIN WAY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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