MATIA DIVITT

PORTLAND, OR
NPI1891017133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  13600)
Enumeration Date2010-02-26
Last Update Date2010-02-26
Business Address
Miss MATIA DIVITT lmt
1625 NE BRYANT ST
PORTLAND, OR 97211-4711
Phone number: 503-568-7847
Mailing Address
Miss MATIA DIVITT lmt
1625 NE BRYANT ST
PORTLAND, OR 97211-4711
Phone number: 503-568-7847
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