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Individual

MICHAEL DIXON BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4423 NE TILLAMOOK ST, PORTLAND, OR 97213-1317
(503) 707-1715
Mailing address
3806 SE LAFAYETTE CT, PORTLAND, OR 97202-1718
(503) 707-1715

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23043
OR

Other

Enumeration date
03/24/2017
Last updated
03/24/2017
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