KELLY T FUNK

PORTLAND, OR
NPI1366749848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy372600000X Adult Companion
Enumeration Date2011-02-18
Last Update Date2011-02-18
Business Address
-- KELLY T FUNK
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-238-0769
Mailing Address
-- KELLY T FUNK
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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