Johanna Christine Provenzano
Johanna Christine Provenzano is an Adult Companion in Portland, Oregon. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
5023 NE Killingsworth StPortland, OR 97218-1915
Phone: (503) 284-4249
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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 | 1760820914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 10, 2013 |
| Last updated in NPPES | June 10, 2013 |
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