GEORGIA LONG

PORTLAND, OR
NPI1356954069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-08-24
Last Update Date2020-08-24
Business Address
GEORGIA LONG
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-284-4249
Mailing Address
GEORGIA LONG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: