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Individual

GEORGE ANTHONY NERVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(503) 231-9879
(503) 233-4732
Mailing address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(503) 231-9879
(503) 233-4732

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22943
OR

Other

Enumeration date
07/31/2017
Last updated
07/31/2017
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