SHERIDAN LONG

PORTLAND, OR
NPI1558731620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  8047)
Enumeration Date2015-10-01
Last Update Date2015-10-01
Business Address
Mr. SHERIDAN LONG
6429 NE 33RD AVE
PORTLAND, OR 97211-7209
Phone number: 503-939-5520
Mailing Address
Mr. SHERIDAN LONG
6429 NE 33RD AVE
PORTLAND, OR 97211-7209
Phone number: 503-939-5520