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1699511618
DEREK MARK THOMPSON
PORTLAND, OR
NPI
1699511618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR LMT-26351)
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
DEREK MARK THOMPSON LMT
1939 NE BROADWAY ST STE C
PORTLAND, OR 97232-1584
Phone number: 503-899-3695
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Mailing Address
DEREK MARK THOMPSON LMT
14885 THAYER RD
OREGON CITY, OR 97045-9374
Phone number: 503-899-3695
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