DANIEL LEAKE

GRESHAM, OR
NPI1366830531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  20278)
Enumeration Date2014-12-22
Last Update Date2014-12-22
Business Address
-- DANIEL LEAKE LMT
1217 NE BURNSIDE RD STE 701D
GRESHAM, OR 97030-5770
Phone number: 503-348-4797
Mailing Address
-- DANIEL LEAKE LMT
1525 SE 139TH AVE
PORTLAND, OR 97233-2306
Phone number: 971-998-0966
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