JORDAN C KRONSTAD

PORTLAND, OR
NPI1497219927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
JORDAN C KRONSTAD
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
JORDAN C KRONSTAD
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: