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1134716509
SAMUEL WHYTE
PORTLAND, OR
NPI
1134716509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19971)
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
SAMUEL WHYTE
913 SW 16TH AVE
PORTLAND, OR 97205-1730
Phone number: 503-228-5000
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Mailing Address
SAMUEL WHYTE
8845 SE 29TH AVE
MILWAUKIE, OR 97222-6322
Phone number: 503-686-3002
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