ROBERT RICHARD ELLESTAD

SALEM, OR
NPI1174762520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  14560)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
Mr. ROBERT RICHARD ELLESTAD LMT
300 GLEN CREEK RD NW
SALEM, OR 97304-3058
Phone number: 503-507-2730
Mailing Address
Mr. ROBERT RICHARD ELLESTAD LMT
1468 FALCON LOOP
INDEPENDENCE, OR 97351-1538
Phone number: 503-507-2730
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