EDWARD WICKWIRE

PORTLAND, OR
NPI1851643266
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  8033)
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
-- EDWARD WICKWIRE LMT
917 SW OAK ST STE 209
PORTLAND, OR 97205-2805
Phone number: 503-702-3151
Mailing Address
-- EDWARD WICKWIRE LMT
917 SW OAK ST STE 209
PORTLAND, OR 97205-2805
Phone number: 503-702-3151
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