Individual
CRYSTAL ELAINE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,NCTMB
Contact information
Practice address
478 2ND ST, LAKE OSWEGO, OR 97034-3127
(503) 577-7007
Mailing address
478 2ND ST, LAKE OSWEGO, OR 97034-3127
(503) 577-7007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13088
OR
Other
Enumeration date
10/15/2008
Last updated
11/05/2008
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