Individual
MS. LORETTA ELLEN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12085 SW 135TH AVE APT 58, TIGARD, OR 97223-1617
(503) 880-6730
Mailing address
12085 SW 135TH AVE. APT.58, TIGARD, OR 97223-1617
(503) 880-6730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14447
OR
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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