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1972160455
VINCENT MARTIN
PORTLAND, OR
NPI
1972160455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19680)
Enumeration Date
2019-05-21
Last Update Date
2024-04-30
Business Address
VINCENT MARTIN LMT
210 SW 17TH AVENUE
PORTLAND, OR 97209
Phone number: 971-407-3066
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Mailing Address
VINCENT MARTIN LMT
420 SW WASHINGTON ST STE 304
PORTLAND, OR 97204-2234
Phone number: 503-752-8781
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