JUSTIN CLARK

PORTLAND, OR
NPI1013286863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  18505)
Enumeration Date2011-12-23
Last Update Date2011-12-23
Business Address
-- JUSTIN CLARK LMT
12923 NW CORNELL RD #201
PORTLAND, OR 97229-5834
Phone number: 503-646-3393
Mailing Address
-- JUSTIN CLARK LMT
12923 NW CORNELL RD #201
PORTLAND, OR 97229-5834
Phone number: 503-646-3393
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