Individual
NICHOLAS MICHAEL MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3034 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3053
(503) 283-3763
Mailing address
1212 NE LINDEN AVE APT 9, GRESHAM, OR 97030-3953
(503) 667-2410
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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