Individual
NACHERYL OLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 SE 143RD AVE, APT 8, PORTLAND, OR 97236-2756
(503) 760-1536
Mailing address
3410 SE 143RD AVE, APT 8, PORTLAND, OR 97236-2756
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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