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Individual

MR. KENT LEWIS VALENTE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4370 SE KING RD STE 220, MILWAUKIE, OR 97222-1613
(503) 654-7400
Mailing address
11908 SE 36TH AVE, MILWAUKIE, OR 97222-6904
(503) 839-8587

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18496
OR

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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