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Individual

JON HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5520 SW MACADAM AVE, 230, PORTLAND, OR 97239-3768
(503) 243-3443
Mailing address
5520 SW MACADAM AVE, 230, PORTLAND, OR 97239-3768
(503) 243-3443

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3831
OR

Other

Enumeration date
06/20/2016
Last updated
06/20/2016
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