KEVIN GRIMES, BA

Adult Companion

Active Individual
NPI: 1720138621

Practice Address

509 NE ALBERTA ST
Portland, OR 97211

Phone: (503) 249-7767

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1720138621 is the National Provider Identifier for KEVIN GRIMES, BA, a Adult Companion provider located in Portland, OR. This NPI was enumerated on January 11, 2007.
KEVIN GRIMES, BA practices at 509 NE ALBERTA ST, Portland, OR 97211.

Quick Facts

NPI
1720138621
Type
Individual
Enumerated
Jan 11, 2007
Last Updated
Jan 19, 2012

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