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1316750201
TONY PHOMPHAKDY
PORTLAND, OR
NPI
1316750201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 28326)
Enumeration Date
2025-01-27
Last Update Date
2025-01-27
Business Address
TONY PHOMPHAKDY
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278
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Mailing Address
TONY PHOMPHAKDY
20140 NE SANDY BLVD UNIT 112
FAIRVIEW, OR 97024-9751
Phone number: 503-984-1286
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