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1053778027
FOX MASSAGE LLC
PORTLAND, OR
NPI
1053778027
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Entity Type
Organization
Authorized Contact
KATHRYN CLIPPARD
Sole Proprietor
503-333-2425
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR 19681)
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
FOX MASSAGE LLC
2143 NE BROADWAY ST
PORTLAND, OR 97232-1512
Phone number: 503-333-2425
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Mailing Address
FOX MASSAGE LLC
2143 NE BROADWAY ST
PORTLAND, OR 97232-1512
Phone number: 503-333-2425
Copy
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