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1588149512
AUDRA ERICKSON, LMT
PORTLAND, OR
NPI
1588149512
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Entity Type
Organization
Authorized Contact
AUDRA GALE ERICKSON
Licensed Massage Therapist
541-484-7563
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2018-09-25
Last Update Date
2021-01-12
Business Address
AUDRA ERICKSON, LMT
4415 NE SANDY BLVD STE 207
PORTLAND, OR 97213-1400
Phone number: 541-484-7563
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Mailing Address
AUDRA ERICKSON, LMT
3829 SE 68TH AVE
PORTLAND, OR 97206-3527
Phone number: 541-484-7563
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