Stuart Tait
Stuart Tait is an Adult Companion in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
5441 SW Macadam AvePortland, OR 97239-6106
Phone: (503) 841-6222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 10054 (OR) |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1073819785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 28, 2011 |
| Last updated in NPPES | May 10, 2011 |
| Mailing address | 5441 Sw Macadam Ave, Portland, OR 97239-6106 |
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