ETHAN H CANOE

GRANTS PASS, OR
NPI1770362956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  26776)
Additional Taxonomies225700000X Massage Therapist
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
ETHAN H CANOE LMT
333 SW 5TH ST STE B
GRANTS PASS, OR 97526-2509
Phone number: 541-471-0397
Mailing Address
ETHAN H CANOE LMT
333 SW 5TH ST STE B
GRANTS PASS, OR 97526-2509
Phone number: 541-471-0397