Individual
ELENA KATHERINA BEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 NW HARRIMAN ST, BEND, OR 97703-1912
(971) 330-3187
Mailing address
61506 TALL TREE CT, BEND, OR 97702-3296
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
266696
OR
Other
Enumeration date
01/02/2023
Last updated
10/30/2023
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