Individual
ALEXZANDRIA ESSENCE YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2685 CENTRAL BLVD, EUGENE, OR 97403-2804
(650) 714-2765
Mailing address
2685 CENTRAL BLVD, EUGENE, OR 97403-2804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16275
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPY
OR
Enumeration date
10/25/2018
Last updated
10/25/2018
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