CHARLES WILLIAM STREET

BEAVERTON, OR
NPI1346464419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  1002)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
Mr. CHARLES WILLIAM STREET Massage Therapist
1060 SW 170TH AVE UNIT 200
BEAVERTON, OR 97006-8089
Phone number: 541-778-0705
Mailing Address
Mr. CHARLES WILLIAM STREET Massage Therapist
1060 SW 170TH AVE UNIT 200
BEAVERTON, OR 97006-8089
Phone number: 541-778-0705
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