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Individual

MR. JOHN F VARESIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
833 SE MAIN ST, 428, PORTLAND, OR 97214-3454
(503) 407-9055
Mailing address
12570 SE 105TH AVE, CLACKAMAS, OR 97015-6728
(503) 407-9055

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18132
OR

Other

Enumeration date
05/04/2011
Last updated
05/04/2011
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