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1013656677
CANOPY CLINIC PDX LLC
PORTLAND, OR
NPI
1013656677
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Entity Type
Organization
Authorized Contact
KELLY FORESTER
Lmt
971-266-3796
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
CANOPY CLINIC PDX LLC
917 SW OAK ST STE 406
PORTLAND, OR 97205-2838
Phone number: 971-266-3796
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Mailing Address
CANOPY CLINIC PDX LLC
1937 NW JOHNSON ST APT 4
PORTLAND, OR 97209-1335
Phone number:
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