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1245612100
PHOENIX LIU
PORTLAND, OR
NPI
1245612100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19111)
Enumeration Date
2015-06-26
Last Update Date
2015-06-26
Business Address
-- PHOENIX LIU LMT
5013 SE HAWTHORNE BLVD
PORTLAND, OR 97215-3255
Phone number: 503-238-1032
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Mailing Address
-- PHOENIX LIU LMT
5013 SE HAWTHORNE BLVD
PORTLAND, OR 97215-3255
Phone number: 503-238-1032
Copy
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