DALE A. FAVIER

PORTLAND, OR
NPI1891023735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  14610)
Enumeration Date2009-12-04
Last Update Date2009-12-04
Business Address
-- DALE A. FAVIER LMT
1532 SE 52ND AVE
PORTLAND, OR 97215-3316
Phone number: 503-239-5241
Mailing Address
-- DALE A. FAVIER LMT
1532 SE 52ND AVE
PORTLAND, OR 97215-3316
Phone number: 503-239-5241
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