MICHAEL BACA

PORTLAND, OR
NPI1821444316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2016-05-13
Last Update Date2016-05-13
Business Address
-- MICHAEL BACA
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
-- MICHAEL BACA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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