SHANE AUSTIN SMITH

PORTLAND, OR
NPI1457757999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2014-11-11
Last Update Date2014-11-11
Business Address
-- SHANE AUSTIN SMITH
7405 SE 84TH AVE
PORTLAND, OR 97266-5840
Phone number: 503-771-1645
Mailing Address
-- SHANE AUSTIN SMITH
12248 SE MARKET ST
PORTLAND, OR 97233-1235
Phone number: 503-995-4778
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