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1750068920
PAKE R. NIELSON
PORTLAND, OR
NPI
1750068920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 27782)
Enumeration Date
2023-06-29
Last Update Date
2024-09-01
Business Address
PAKE R. NIELSON LMT
7318 N LEAVITT AVE
PORTLAND, OR 97203-4840
Phone number: 503-567-5880
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Mailing Address
PAKE R. NIELSON LMT
8532 N IVANHOE ST STE 201
PORTLAND, OR 97203-4827
Phone number: 503-567-5880
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