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1619532231
CHANCE COLTRANE HENRITZY
PORTLAND, OR
NPI
1619532231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21918)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
CHANCE COLTRANE HENRITZY
1421 SE ANKENY ST
PORTLAND, OR 97214-1471
Phone number: 503-284-6996
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Mailing Address
CHANCE COLTRANE HENRITZY
4415 SE MILWAUKIE AVE
PORTLAND, OR 97202-4773
Phone number: 503-853-6687
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