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1417470717
BETHESDA SPENCER-CANTON
PORTLAND, OR
NPI
1417470717
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Former Name
JOSHUA CHANDLER SPENCER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374700000X Technician
(Licence: OR BAP-E-10228120)
Enumeration Date
2017-07-19
Last Update Date
2022-12-16
Business Address
BETHESDA SPENCER-CANTON
510 NW 10TH AVE # 15
PORTLAND, OR 97209-3364
Phone number: 801-558-5242
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Mailing Address
BETHESDA SPENCER-CANTON
PO BOX 12024
PORTLAND, OR 97212-0024
Phone number: 801-558-5242
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