Individual
EVELYN M CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
52485 SW 1ST ST, SCAPPOOSE, OR 97056-3531
(503) 961-5322
Mailing address
51999 SW 4TH ST, SCAPPOOSE, OR 97056-3723
(503) 961-5322
(503) 543-6611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12278
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12278
L.M.T. #
—
Enumeration date
09/01/2019
Last updated
09/01/2019
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