RICHARD JOHN SULLIVAN

PORTLAND, OR
NPI1568695864
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  6049)
Enumeration Date2009-09-02
Last Update Date2009-09-02
Business Address
Mr. RICHARD JOHN SULLIVAN LMT
3524 SE STARK ST
PORTLAND, OR 97214-3154
Phone number: 503-421-5172
Mailing Address
Mr. RICHARD JOHN SULLIVAN LMT
3524 SE STARK ST
PORTLAND, OR 97214-3154
Phone number: 503-421-5172
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