Individual
MS. HEATHER MARIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
22000 WILLAMETTE DR., #107, WEST LINN, OR 97068
(503) 722-8888
(503) 722-9422
Mailing address
22000 WILLAMETTE DR., #107, WEST LINN, OR 97068
(503) 722-8888
(503) 722-9422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15510
OR
Other
Enumeration date
10/13/2011
Last updated
07/13/2017
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