LAWRENCE REYNOLDS

PORTLAND, OR
NPI1306069190
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies372600000X Adult Companion
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- LAWRENCE REYNOLDS
707 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-222-4906
Mailing Address
-- LAWRENCE REYNOLDS
3056 NE HOLLADAY APT # 303
PORTLAND, OR 97232
Phone number: