Individual
MS. ELIZABETH ANNE WIENEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
161 SAINT HELENS ST STE 106, SAINT HELENS, OR 97051-2029
(503) 396-9617
Mailing address
59113 OAK GLEN AVE, SAINT HELENS, OR 97051-2866
(503) 396-9617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134358112
NPI TYPE 1
OR
01
—
14160
OREGON BOARD OF MASSAGE THERAPISTS
OR
Enumeration date
07/10/2009
Last updated
02/12/2026
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