Individual
AMY DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11261 NE KNOTT ST, PORTLAND, OR 97220-1704
(503) 253-8883
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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