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Liat Mayer

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

NPI number1801280342
StatusActive
Last updated in NPPESMar 23, 2015

Details

NPI
1801280342
Entity type
Individual (NPI-1)
Name
Liat Mayer
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2015
Last updated
Mar 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

847 Ne 19th Ave
Portland, OR 97232-2684

Phone 503-238-0769

Mailing address

760 Se 11th Cir
Troutdale, OR 97060-3230

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