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1114387164
AMITY MEAD
PORTLAND, OR
NPI
1114387164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR MAT 12879)
Enumeration Date
2016-03-03
Last Update Date
2016-03-03
Business Address
-- AMITY MEAD
2476 NW NORTHRUP ST SUITE 2A
PORTLAND, OR 97210-3133
Phone number: 503-704-0579
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Mailing Address
-- AMITY MEAD
3003 SE 43RD AVE
PORTLAND, OR 97206-3101
Phone number:
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