Individual
ELISHA RAE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
716 SW HIGHLAND AVE, REDMOND, OR 97756-3120
(541) 604-5365
(541) 516-1047
Mailing address
716 SW HIGHLAND AVE, REDMOND, OR 97756-3120
(541) 604-5365
(541) 516-1047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24416
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24416
—
OR
Enumeration date
11/21/2022
Last updated
11/21/2022
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