JIMI M HENDERSON

PORTLAND, OR
NPI1942507496
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy372600000X Adult Companion
Enumeration Date2011-02-18
Last Update Date2011-02-18
Business Address
-- JIMI M HENDERSON
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-238-0769
Mailing Address
-- JIMI M HENDERSON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769