Individual
MR. JERRY ARVO KALLIOINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADA APPLICANT
Contact information
Practice address
2415 SE 43RD AVE, SUITE 100, PORTLAND, OR 97206-1600
(503) 238-0705
(503) 236-7166
Mailing address
605 NE GOING ST, PORTLAND, OR 97211-3961
(503) 281-2766
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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