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1881981249
MICAH WELLS HOGAN
PORTLAND, OR
NPI
1881981249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10009)
Enumeration Date
2011-07-06
Last Update Date
2011-07-06
Business Address
-- MICAH WELLS HOGAN lmt
124 SW YAMHILL ST
PORTLAND, OR 97204-3019
Phone number: 541-771-9869
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Mailing Address
-- MICAH WELLS HOGAN lmt
124 SW YAMHILL ST
PORTLAND, OR 97204-3019
Phone number: 541-771-9869
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