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1245476001
MARTHA G LANGE
PORTLAND, OR
NPI
1245476001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14177)
Enumeration Date
2008-12-29
Last Update Date
2009-02-23
Business Address
Ms. MARTHA G LANGE LMT
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-287-7733
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Mailing Address
Ms. MARTHA G LANGE LMT
3942 NE 8TH AVE
PORTLAND, OR 97212-1205
Phone number: 503-729-1460
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