JASON KOCH

Adult Companion

Active Individual
NPI: 1245752245

Practice Address

847 NE 19TH AVE
Portland, OR 97232

Phone: (503) 238-0769

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1245752245 is the National Provider Identifier for JASON KOCH, a Adult Companion provider located in Portland, OR. This NPI was enumerated on July 11, 2017.
JASON KOCH practices at 847 NE 19TH AVE, Portland, OR 97232.

Quick Facts

NPI
1245752245
Type
Individual
Enumerated
Jul 11, 2017
Last Updated
Jul 11, 2017

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