EDWIN ROLANDO ROMAN

PORTLAND, OR
NPI1174913545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  19797)
Enumeration Date2015-01-23
Last Update Date2015-01-23
Business Address
-- EDWIN ROLANDO ROMAN
13454 NE SANDY BLVD APT. Y3
PORTLAND, OR 97230-2681
Phone number: 321-693-8201
Mailing Address
-- EDWIN ROLANDO ROMAN
13454 NE SANDY BLVD APT. Y3
PORTLAND, OR 97230-2681
Phone number: 321-693-8201