Individual
ELVIRA GRUSSENMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7318 N LEAVITT AVE, PORTLAND, OR 97203-4840
(503) 567-5880
(866) 624-1294
Mailing address
3904 N JUNEAU ST, PORTLAND, OR 97217-7429
(503) 888-0186
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28966
OR
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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