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1194510958
JAEDON CHURCHILL DICKS
PORTLAND, OR
NPI
1194510958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 28873)
Enumeration Date
2025-04-11
Last Update Date
2025-04-22
Business Address
JAEDON CHURCHILL DICKS LMT
7318 N LEAVITT AVE
PORTLAND, OR 97203-4840
Phone number: 503-567-5880
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Mailing Address
JAEDON CHURCHILL DICKS LMT
8222 N EDISON ST
PORTLAND, OR 97203-4912
Phone number: 541-728-6867
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