THEODORE JAY WOLFINGTON

PORTLAND, OR
NPI1710025820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies372600000X Adult Companion
Enumeration Date2007-02-01
Last Update Date2007-07-08
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
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