CHUNG SO

PORTLAND, OR
NPI1003172412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  LMT#4132)
Enumeration Date2012-04-10
Last Update Date2012-04-10
Business Address
-- CHUNG SO LMT(Oregon #4132)
1616 SE BYBEE BLVD
PORTLAND, OR 97202-5715
Phone number: 503-236-4654
Mailing Address
-- CHUNG SO LMT(Oregon #4132)
6311 NW FIRWOOD DRIVE
VANCOUVER, WA 98665-8511
Phone number: 360-798-4255
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