THEODORE JAY WOLFINGTON

PORTLAND, OR
NPI1710025820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2007-02-01
Last Update Date2025-09-11
Business Address
Mr. THEODORE JAY WOLFINGTON
4822 NE 12TH AVE
PORTLAND, OR 97211-4620
Phone number: 503-287-0606
Mailing Address
Mr. THEODORE JAY WOLFINGTON
4822 NE 12TH AVE
PORTLAND, OR 97211-4620
Phone number: 503-287-0606