Michael Koranteng

NPI #1619387172 in Gladstone, Oregon

Provider Information

NPI Number: 1619387172
Entity Type: Individual
Name: Michael Koranteng
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: May 5, 2014
Last Updated: May 5, 2014

Practice Location

Address: 1035 PORTLAND AVE
City: Gladstone
State: Oregon
ZIP Code: 97027-2154
Phone: (503) 722-3877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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