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1376312918
ALYSSA BLACK
PORTLAND, OR
NPI
1376312918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18673)
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
ALYSSA BLACK
3944 N MISSISSIPPI AVE
PORTLAND, OR 97227-1163
Phone number: 503-517-8222
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Mailing Address
ALYSSA BLACK
1735 SE MADISON ST APT 1
PORTLAND, OR 97214-3752
Phone number: 503-851-8717
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