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1558416693
MICHAEL JAMES MELLICK
PORTLAND, OR
NPI
1558416693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2007-01-25
Last Update Date
2009-02-04
Business Address
Mr. MICHAEL JAMES MELLICK
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-228-7134
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Mailing Address
Mr. MICHAEL JAMES MELLICK
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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