COOPER LEO PARADISE FOULKE

PORTLAND, OR
NPI1902165715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174H00000X Health Educator
(Licence: OR  18488)
Enumeration Date2012-05-14
Last Update Date2012-05-14
Business Address
-- COOPER LEO PARADISE FOULKE L.M.T.
1221 SE MADISON ST
PORTLAND, OR 97214-3890
Phone number: 503-445-7767
Mailing Address
-- COOPER LEO PARADISE FOULKE L.M.T.
2125 SE OAK ST
PORTLAND, OR 97214-1606
Phone number: 503-459-1143
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