SUGAR RAY BLACK

PORTLAND, OR
NPI1144416629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy372600000X Adult Companion
Enumeration Date2007-09-19
Last Update Date2007-09-19
Business Address
-- SUGAR RAY BLACK
6011 N GREELEY AVE APT B
PORTLAND, OR 97217-5057
Phone number: 503-238-0769
Mailing Address
-- SUGAR RAY BLACK
6011 N GREELEY AVE APT B
PORTLAND, OR 97217-5057
Phone number: