BLAKE WP FRASER

PORTLAND, OR
NPI1851907018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  26427)
Enumeration Date2020-09-22
Last Update Date2024-02-01
Business Address
BLAKE WP FRASER CMT
1125 SE DIVISION ST STE 204
PORTLAND, OR 97202-2567
Phone number: 682-622-6602
Mailing Address
BLAKE WP FRASER CMT
1125 SE DIVISION ST STE 204
PORTLAND, OR 97202-2567
Phone number: 682-622-6602
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