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1164268496
JOHNATHEN LEE BURKHART
BEAVERTON, OR
NPI
1164268496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 28438)
Enumeration Date
2024-07-05
Last Update Date
2024-07-05
Business Address
JOHNATHEN LEE BURKHART LMT
3835 SW 185TH AVE STE 400
BEAVERTON, OR 97078-1553
Phone number: 503-626-2166
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Mailing Address
JOHNATHEN LEE BURKHART LMT
7645 SW 66TH AVE
PORTLAND, OR 97223-9403
Phone number: 971-230-4830
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