JOHANNES HEINRICH VENGHAUS

PORTLAND, OR
NPI1992736821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  11918)
Enumeration Date2006-07-06
Last Update Date2008-05-08
Business Address
-- JOHANNES HEINRICH VENGHAUS
2601 NE GLISAN ST
PORTLAND, OR 97232-2317
Phone number: 503-232-1948
Mailing Address
-- JOHANNES HEINRICH VENGHAUS
3755 SE GRANT CT
PORTLAND, OR 97214-5839
Phone number: 503-235-6243