IAN DOUGHERTY

PORTLAND, OR
NPI1578800405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  18078)
Enumeration Date2013-01-11
Last Update Date2013-01-11
Business Address
-- IAN DOUGHERTY
2037 N WILLIAMS AVE
PORTLAND, OR 97227-1929
Phone number: 503-287-3813
Mailing Address
-- IAN DOUGHERTY
375 NE SHAVER ST APT 608
PORTLAND, OR 97212-1080
Phone number:
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