BENJAMIN ROSEN

PORTLAND, OR
NPI1306381454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  21846)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
Mr. BENJAMIN ROSEN LMT
10303 NE WEIDLER ST.
PORTLAND, OR 97200-3882
Phone number: 503-255-0306
Mailing Address
Mr. BENJAMIN ROSEN LMT
10303 NE WEIDLER ST
PORTLAND, OR 97220-3882
Phone number: 503-255-0306