JONATHAN HETRICK WOLF

PORTLAND, OR
NPI1295278729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  20541)
Enumeration Date2016-12-01
Last Update Date2020-05-14
Business Address
JONATHAN HETRICK WOLF LMT
5263 NE 16TH AVE
PORTLAND, OR 97211-4423
Phone number: 503-915-9835
Mailing Address
JONATHAN HETRICK WOLF LMT
5263 NE 16TH AVE
PORTLAND, OR 97211-4423
Phone number: 503-915-9835
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