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1386924934
ADVANCE INJURY CARE AND MOVEMENT THERAPY LLC
PORTLAND, OR
NPI
1386924934
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Entity Type
Organization
Authorized Contact
RICHARD WALTER ROSKOPF
Owner
503-939-2524
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 9601)
Enumeration Date
2011-08-26
Last Update Date
2011-08-26
Business Address
ADVANCE INJURY CARE AND MOVEMENT THERAPY LLC
11507 SW SHILO LN STE E
PORTLAND, OR 97225-5923
Phone number: 503-939-2524
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Mailing Address
ADVANCE INJURY CARE AND MOVEMENT THERAPY LLC
11507 SW SHILO LN STE E
PORTLAND, OR 97225-5923
Phone number: 503-939-2524
Copy
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