ALEXANDER CHARLES BRODER

PORTLAND, OR
NPI1669199469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  17536)
Enumeration Date2022-10-21
Last Update Date2022-10-21
Business Address
Mr. ALEXANDER CHARLES BRODER
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278
Mailing Address
Mr. ALEXANDER CHARLES BRODER
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278