Chung So, LMTOREGON4132
Chung So, LMTOREGON4132 is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
1616 SE Bybee BlvdPortland, OR 97202-5715
Phone: (503) 236-4654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence LMT#4132 (OR) |
|---|
Record details
| NPI number | 1003172412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LMTOREGON4132 |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2012 |
| Last updated in NPPES | April 10, 2012 |
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