ANDREW ALLEN BLACK

LAKE OSWEGO, OR
NPI1063838720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  19070)
Enumeration Date2014-03-05
Last Update Date2019-01-16
Business Address
ANDREW ALLEN BLACK LMT
14511 WESTLAKE DR STE 100
LAKE OSWEGO, OR 97035-7727
Phone number: 503-598-8099
Mailing Address
ANDREW ALLEN BLACK LMT
6145 SW SHANNON CT
BEAVERTON, OR 97008-4668
Phone number: 503-598-8099
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