Sugar Ray Black
Sugar Ray Black is an Adult Companion in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
6011 N Greeley Ave Apt BPortland, OR 97217-5057
Phone: (503) 238-0769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1144416629 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | September 19, 2007 |
| Mailing address | 6011 N Greeley Ave Apt B, Portland, OR 97217-5057 |
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