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Individual

MR. FELIX ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1829 NE ALBERTA ST, SUITE 12, PORTLAND, OR 97211-5879
(503) 282-9119
Mailing address
1829 NE ALBERTA ST, SUITE 12, PORTLAND, OR 97211-5879
(503) 282-9119

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10779
OR

Other

Enumeration date
06/02/2009
Last updated
06/02/2009
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