Individual
ELIZABETH MAE EVERGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 828-1311
Mailing address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 828-1311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23876
OR
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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