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1235641226
CHAD ANDERSON
PORTLAND, OR
NPI
1235641226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10820)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
CHAD ANDERSON LMT
5010 NE 33RD AVE
PORTLAND, OR 97211-6946
Phone number: 503-984-0552
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Mailing Address
CHAD ANDERSON LMT
1544 N HIGHLAND ST
PORTLAND, OR 97217-4824
Phone number:
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