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1023767779
MARY FORD
PORTLAND, OR
NPI
1023767779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 26807)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
MARY FORD LMT
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-287-7733
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Mailing Address
MARY FORD LMT
1106 SW GIBBS ST
PORTLAND, OR 97239-3036
Phone number: 209-242-4351
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