Individual
SAM PAUL TERMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 222-4906
(503) 222-3215
Mailing address
16 SW 3RD AVE, PORTLAND, OR 97204-2721
(503) 887-5292
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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