Shane Austin Smith
Shane Austin Smith is an Adult Companion in Portland, Oregon. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
7405 SE 84th AvePortland, OR 97266-5840
Phone: (503) 771-1645
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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 | 1457757999 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 11, 2014 |
| Last updated in NPPES | November 11, 2014 |
| Mailing address | 12248 Se Market St, Portland, OR 97233-1235 |
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