Connie Harvison
Adult Companion in Portland, OR. Individual provider (NPI-1).
NPI number1730484239
StatusActive
Last updated in NPPESJan 14, 2011
Details
- NPI
- 1730484239
- Entity type
- Individual (NPI-1)
- Name
- Connie Harvison
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2011
- Last updated
- Jan 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
310 Nw Flanders StPortland, OR 97209-3941
Phone 503-238-0769 · Fax 503-552-6208
Mailing address
Po Box 8459Portland, OR 97207-8459
Phone 503-238-0769 · Fax 503-552-6208
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All 864 Adult Companion providers in Portland · All 48,847 providers in Portland
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