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1851455018
CHAD THOMAS WARKENTIN
PORTLAND, OR
NPI
1851455018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 11949)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- CHAD THOMAS WARKENTIN LMT
1809 NW DAVIS ST
PORTLAND, OR 97209-2145
Phone number: 503-226-8010
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Mailing Address
-- CHAD THOMAS WARKENTIN LMT
4132 SE WASHINGTON ST
PORTLAND, OR 97214-3274
Phone number: 503-710-4977
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