KEITH ALLEN DAGENHART

PORTLAND, OR
NPI1760496400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  7232)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
KEITH ALLEN DAGENHART LMT
7770 SW ALESON ROAD
PORTLAND, OR 97223
Phone number: 503-245-2752
Mailing Address
KEITH ALLEN DAGENHART LMT
38795 DUBALKO ROAD
SANDY, OR 97055
Phone number: 503-668-9309
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