Individual
DAVID PATRICK STANDIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
29197 SW ORLEANS AVE, WILSONVILLE, OR 97070-7388
(503) 427-0182
(503) 427-0228
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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