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Howard Wade McEachron

Adult Companion in Portland, OR. Individual provider (NPI-1).

NPI number1013464643
StatusActive
Last updated in NPPESSep 1, 2016

Details

NPI
1013464643
Entity type
Individual (NPI-1)
Name
Howard Wade McEachron
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2016
Last updated
Sep 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

847 Ne19th Ave
Suite 100
Portland, OR 97232

Phone 503-238-0769

Mailing address

Po Box 8459
Portland, OR 97207-8459

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