CAROLINE DEJEN BLAKE

PORTLAND, OR
NPI1023385713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  16590)
Enumeration Date2011-11-22
Last Update Date2011-11-22
Business Address
-- CAROLINE DEJEN BLAKE LMT
1928 NE 40TH AVE
PORTLAND, OR 97212-5310
Phone number: 503-287-2787
Mailing Address
-- CAROLINE DEJEN BLAKE LMT
1589 S CHERRY ST
CORNELIUS, OR 97113-7412
Phone number: 503-860-7304
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