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1679070866
BENJAMIN WURTSBAUGH
PORTLAND, OR
NPI
1679070866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23585)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
BENJAMIN WURTSBAUGH
2526 NE 15TH AVE
PORTLAND, OR 97212-4222
Phone number: 503-288-7668
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Mailing Address
BENJAMIN WURTSBAUGH
609 SE 58TH AVE
PORTLAND, OR 97215-1825
Phone number: 707-490-9682
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