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Individual

JOHN VINACCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6244 NE BRIGHTON ST, HILLSBORO, OR 97124-5076
(503) 442-3290
Mailing address
20868 NW DORADO LN, BEAVERTON, OR 97006-1795
(503) 442-3290

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15750
OR

Other

Enumeration date
02/28/2011
Last updated
02/28/2011
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