DEVIN ALEXANDER ELLIS

PORTLAND, OR
NPI1952818064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2018-01-10
Last Update Date2018-01-10
Business Address
DEVIN ALEXANDER ELLIS
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
DEVIN ALEXANDER ELLIS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: