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1306381454
BENJAMIN ROSEN
PORTLAND, OR
NPI
1306381454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21846)
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
MR. BENJAMIN ROSEN LMT
10303 NE WEIDLER ST.
PORTLAND, OR 97200-3882
Phone number: 503-255-0306
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Mailing Address
MR. BENJAMIN ROSEN LMT
10303 NE WEIDLER ST
PORTLAND, OR 97220-3882
Phone number: 503-255-0306
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