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1033567516
BEAVERTON MEDICAL MASSAGE LLC
BEAVERTON, OR
NPI
1033567516
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Entity Type
Organization
Authorized Contact
KC DAVIDSON
Owner
503-730-0884
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7107)
Enumeration Date
2016-05-25
Last Update Date
2016-05-25
Business Address
BEAVERTON MEDICAL MASSAGE LLC
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005-2042
Phone number: 503-730-0884
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Mailing Address
BEAVERTON MEDICAL MASSAGE LLC
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005-2042
Phone number:
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