Individual
ELIZABETH MACLEOD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1288 SW SIMPSON AVE, SUITE K, BEND, OR 97702-3195
(541) 617-9969
(541) 617-9890
Mailing address
1288 SW SIMPSON AVE, SUITE K, BEND, OR 97702-3195
(541) 617-9969
(541) 617-9890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18073
OR
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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