Mrs. Lisa Denise Broadous
Mrs. Lisa Denise Broadous is an Adult Companion in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2330 NE Siskiyou StPortland, OR 97212-2471
Phone: (503) 528-0757
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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 | 1114140696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2007 |
| Last updated in NPPES | July 8, 2007 |
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