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Individual

MR. JERED ALRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3150 SE BELMONT ST, PORTLAND, OR 97214-4029
(503) 389-5545
Mailing address
1170 S WATER ST, SILVERTON, OR 97381-2442
(541) 740-1817

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22449
OR
225700000X
Massage Therapist
22449
OR

Other

Enumeration date
12/16/2016
Last updated
03/21/2022
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