SAMUEL EGAN BRODERSEN

PORTLAND, OR
NPI1467221424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  26895)
Enumeration Date2024-01-01
Last Update Date2024-01-01
Business Address
SAMUEL EGAN BRODERSEN
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278
Mailing Address
SAMUEL EGAN BRODERSEN
7107 NE 62ND ST
VANCOUVER, WA 98661-1965
Phone number: 702-788-1073
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