Individual
ELSA DEARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 MAIN ST, WASHOUGAL, WA 98671-4116
(360) 835-3150
Mailing address
3102 NE 119TH ST, VANCOUVER, WA 98686-3331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
24658
OR
225700000X
Massage Therapist
Primary
60971616
WA
Other
Enumeration date
10/04/2018
Last updated
10/02/2019
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