NATHAN ISAIAH PETERSON

PORTLAND, OR
NPI1225489594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  21438)
Enumeration Date2016-06-28
Last Update Date2016-06-28
Business Address
-- NATHAN ISAIAH PETERSON L.M.T.
2390 NW THURMAN ST
PORTLAND, OR 97210-2521
Phone number: 541-543-3512
Mailing Address
-- NATHAN ISAIAH PETERSON L.M.T.
6530 SE 63RD AVE
PORTLAND, OR 97206-7402
Phone number: 541-543-3512
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