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1538407440
REV BOI ORION
PORTLAND, OR
NPI
1538407440
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Former Name
SCOTT FRANKLIN HORNYAK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- REV BOI ORION
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-284-4249
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Mailing Address
-- REV BOI ORION
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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