ERIC WESLEY EWING

PORTLAND, OR
NPI1003111790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  16627)
Enumeration Date2011-01-11
Last Update Date2011-01-11
Business Address
Mr. ERIC WESLEY EWING LMT
5845 NE HOYT ST APT 204
PORTLAND, OR 97213-3781
Phone number: 707-672-4123
Mailing Address
Mr. ERIC WESLEY EWING LMT
5845 NE HOYT ST APT 204
PORTLAND, OR 97213-3781
Phone number: 707-672-4123