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1245781251
AUDRA ERICKSON
PORTLAND, OR
NPI
1245781251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21710)
Enumeration Date
2016-10-14
Last Update Date
2021-01-14
Business Address
AUDRA ERICKSON BS, LMT
4415 NE SANDY BLVD STE 207
PORTLAND, OR 97213-1400
Phone number: 541-484-7563
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Mailing Address
AUDRA ERICKSON BS, LMT
3829 SE 68TH AVE
PORTLAND, OR 97206-3527
Phone number: 541-484-7563
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