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Individual

HELIX CAMRYN HOLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7621 N PORTSMOUTH AVE, PORTLAND, OR 97203-5953
(503) 240-7599
(503) 240-8066
Mailing address
8625 N LEONARD ST, APT 2, PORTLAND, OR 97203-3740

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
11/05/2012
Last updated
03/08/2016
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Product
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