ALLAN FITZPATRICK BEALS-GIBSON

PORTLAND, OR
NPI1982096202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2015-02-24
Last Update Date2015-02-24
Business Address
Mr. ALLAN FITZPATRICK BEALS-GIBSON
15602 SE DIVISION ST.
PORTLAND, OR 97236
Phone number: 503-762-2530
Mailing Address
Mr. ALLAN FITZPATRICK BEALS-GIBSON
1027 E. BURNSIDE ST.
PORTLAND, OR 97214
Phone number: 503-239-8400