Jimi M Henderson
Jimi M Henderson is an Adult Companion in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
5023 NE Killingsworth StPortland, OR 97218-1915
Phone: (503) 238-0769
Fax: (503) 552-6208
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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 | 1942507496 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2011 |
| Last updated in NPPES | February 18, 2011 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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