MICHAEL LARSON

PORTLAND, OR
NPI1518134527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  6194)
Enumeration Date2008-05-09
Last Update Date2009-01-04
Business Address
Mr. MICHAEL LARSON L.M.T.
3810 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 503-449-1932
Mailing Address
Mr. MICHAEL LARSON L.M.T.
3810 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 503-449-1932
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