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General NPI Number Information
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NPI Number | 1467393298
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Entity Type | Organization
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Legal Business Name | MIOZEN CLINIC MASSAGE LLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 9045 SW BARBUR BLVD STE 117
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City | PORTLAND
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State | OR
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Zip | 97219-4028
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Country | US
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Telephone | 971-351-8366
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Fax |
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Provider Business Mailing Address
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Address Line | 7735 SW FLORENCE LN
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City | PORTLAND
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State | OR
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Zip | 97223-9234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | STORE OWNER
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Name | MING H CHENG
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Credential | LMT
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Telephone | 971-500-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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