Individual
DAVY ELIZABETH VANDERSOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12448 SW MAIN ST, TIGARD, OR 97223-6110
(971) 420-2199
Mailing address
9650 SW GREENBURG RD APT 303, PORTLAND, OR 97223-5568
(725) 289-4582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28211
OR
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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