JONATHAN R PRUE

PORTLAND, OR
NPI1538398219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  11061)
Enumeration Date2009-07-02
Last Update Date2009-07-02
Business Address
-- JONATHAN R PRUE LMT
2015 NE 39TH AVE
PORTLAND, OR 97212-5305
Phone number: 503-753-2233
Mailing Address
-- JONATHAN R PRUE LMT
2015 NE 39TH AVE
PORTLAND, OR 97212-5305
Phone number: 503-753-2233