Mallori A Jackson
Mallori A Jackson is an Adult Companion in Portland, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
7511 SE Henry StPortland, OR 97206-6445
Phone: (503) 771-6061
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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 | 1548808140 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 13, 2019 |
| Last updated in NPPES | December 13, 2019 |
| Certification date | December 13, 2019 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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