MICAH WELLS HOGAN

PORTLAND, OR
NPI1881981249
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  10009)
Enumeration Date2011-07-06
Last Update Date2011-07-06
Business Address
-- MICAH WELLS HOGAN lmt
124 SW YAMHILL ST
PORTLAND, OR 97204-3019
Phone number: 541-771-9869
Mailing Address
-- MICAH WELLS HOGAN lmt
124 SW YAMHILL ST
PORTLAND, OR 97204-3019
Phone number: 541-771-9869