SearchOregonAdult Companion

Sugar Black

NPI 1144416629 · on the registry since 2007 · sole proprietor

Practice

Address
6011 N Greeley Ave Apt B
Portland, OR 97217
Phone
(503) 238-0769

Registry record

Primary taxonomy
Adult Companion
372600000X
Sex
Male
Record last updated
2007-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon