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1245126952
KENNETH MALAM
PORTLAND, OR
NPI
1245126952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 29062)
Enumeration Date
2025-06-17
Last Update Date
2025-06-17
Business Address
KENNETH MALAM LMT
5200 S MACADAM AVE
PORTLAND, OR 97239-6103
Phone number: 503-206-0300
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Mailing Address
KENNETH MALAM LMT
4111 SE RAYMOND ST
PORTLAND, OR 97202-4060
Phone number: 612-867-6033
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