Individual
ANN MARIE BADGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1915
(503) 402-8117
Mailing address
8027 SE 49TH AVE, PORTLAND, OR 97206-0824
(503) 327-8740
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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