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Individual

CORY RAY MCVENES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2306 NE GLISAN ST, PORTLAND, OR 97232-2392
(503) 516-1020
Mailing address
6336 NE GLISAN ST, PORTLAND, OR 97213-5053
(503) 516-1020

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20666
OR

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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