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Individual

DEVIN SWYER AMICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5725 NE PRESCOTT ST, PORTLAND, OR 97218-2229
(503) 238-0769
(503) 552-6208
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
(503) 552-6208

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
01/27/2011
Last updated
01/27/2011
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