BENJAMIN JOHN ZIMMERMAN

PORTLAND, OR
NPI1689952632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2011-07-25
Last Update Date2011-07-25
Business Address
-- BENJAMIN JOHN ZIMMERMAN B.A.
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
Mailing Address
-- BENJAMIN JOHN ZIMMERMAN B.A.
847 NE 19TH AVE SUITE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769