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1184264038
NICHOLAS PETERKA
PORTLAND, OR
NPI
1184264038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17741)
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
NICHOLAS PETERKA LMT
1400 NW MARSHALL ST UNIT 108
PORTLAND, OR 97209-3367
Phone number: 503-208-6297
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Mailing Address
NICHOLAS PETERKA LMT
1400 NW MARSHALL ST UNIT 108
PORTLAND, OR 97209-3367
Phone number: 503-351-5144
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