JEFFERY L WING

PORTLAND, OR
NPI1780097089
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy173C00000X Reflexologist
(Licence: OR  7695)
Enumeration Date2014-06-04
Last Update Date2014-06-04
Business Address
Mr. JEFFERY L WING LMT
6274 SW CAPITOL HWY
PORTLAND, OR 97239-2674
Phone number: 503-709-2811
Mailing Address
Mr. JEFFERY L WING LMT
6274 SW CAPITOL HWY
PORTLAND, OR 97239-2674
Phone number: 503-709-2811