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1285019786
TIMOTHY OXENDAHL
PORTLAND, OR
NPI
1285019786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20646)
Enumeration Date
2015-07-25
Last Update Date
2015-07-25
Business Address
-- TIMOTHY OXENDAHL LMT
2906 NE GLISAN ST
PORTLAND, OR 97232-3271
Phone number: 503-281-6909
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Mailing Address
-- TIMOTHY OXENDAHL LMT
7235 N GREENWICH AVE
PORTLAND, OR 97217-5517
Phone number: 971-303-3699
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