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Individual

CHRISTOPHER GABRIEL LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1343 NE 118 AVE. APT5, PORTLAND, OR 97220
(707) 481-3294
Mailing address
1343 NE 118TH AVE APT 5, PORTLAND, OR 97220-2158
(707) 481-3294

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
02/20/2017
Last updated
02/20/2017
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