Individual
MR. KENNETH BRIAN MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4125 NE AINSWORTH ST, PORTLAND, OR 97211-7940
(503) 933-3364
Mailing address
4125 NE AINSWORTH ST, PORTLAND, OR 97211-7940
(503) 933-3364
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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