Matt Glenn Phillips
Matt Glenn Phillips is an Adult Companion in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
509 NE Alberta StPortland, OR 97211-3976
Phone: (503) 249-7767
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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 | 1992979942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2008 |
| Last updated in NPPES | April 21, 2008 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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