FIONA GRACE WAGNER

PORTLAND, OR
NPI1912343047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  19740)
Enumeration Date2013-05-15
Last Update Date2013-05-15
Business Address
Mrs. FIONA GRACE WAGNER L.M.T
10230 SW HALL BLVD
PORTLAND, OR 97223-5804
Phone number: 503-806-4591
Mailing Address
Mrs. FIONA GRACE WAGNER L.M.T
11705 NW VALLEVUE CT
PORTLAND, OR 97229-5076
Phone number: 503-641-8002
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