Benjamin Jacob
Benjamin Jacob is an Adult Companion in Portland, Oregon. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
847 NE 19th Ave Ste 100Portland, OR 97232-2684
Phone: (503) 238-0769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1497288922 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 11, 2017 |
| Last updated in NPPES | April 11, 2017 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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