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1194279810
TRACY ANN MATTNER
PORTLAND, OR
NPI
1194279810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 22577)
Enumeration Date
2016-08-10
Last Update Date
2019-09-30
Business Address
TRACY ANN MATTNER LMT
6510 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 503-290-4757
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Mailing Address
TRACY ANN MATTNER LMT
6510 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 417-489-6929
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