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1902363773
WADE R SMITH
PORTLAND, OR
NPI
1902363773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19225)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
WADE R SMITH LMT
833 SE MAIN ST
PORTLAND, OR 97214-3454
Phone number: 503-752-7685
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Mailing Address
WADE R SMITH LMT
3335 NE 25TH AVE
PORTLAND, OR 97212-2506
Phone number: 503-752-7685
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