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1437718764
RICHARD C IRVINE
LAKE OSWEGO, OR
NPI
1437718764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24893)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
Mr. RICHARD C IRVINE LMT
3 MONROE PKWY STE 100U
LAKE OSWEGO, OR 97035-1486
Phone number: 503-387-3205
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Mailing Address
Mr. RICHARD C IRVINE LMT
12843 SE STARK ST
PORTLAND, OR 97233-1555
Phone number: 503-473-5022
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