Individual
EDWIN ROLANDO ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13454 NE SANDY BLVD, APT. Y3, PORTLAND, OR 97230-2681
(321) 693-8201
Mailing address
13454 NE SANDY BLVD, APT. Y3, PORTLAND, OR 97230-2681
(321) 693-8201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19797
OR
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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