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Individual

MR. MICHAEL VALENTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A., C.R., L.M.T.

Contact information

Practice address
2330 NW FLANDERS ST STE 101, PORTLAND, OR 97210-3400
(503) 701-8766
Mailing address
3836 NE 112TH AVE, PORTLAND, OR 97220-2407
(847) 714-4078

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18427
OR

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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