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1033468178
MICHAEL TAIRA
PORTLAND, OR
NPI
1033468178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18514)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- MICHAEL TAIRA L.M.T.
419 NW 23RD AVE
PORTLAND, OR 97210-3470
Phone number: 415-742-1069
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Mailing Address
-- MICHAEL TAIRA L.M.T.
1237 NW 23RD AVE
PORTLAND, OR 97210-2905
Phone number: 415-742-1069
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