Individual
MRS. MARY ELIZABETH BROOKS-VERSCHINGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11385 SW SCHOLLS FERRY RD, BEAVERTON, OR 97008-7167
(503) 524-9040
Mailing address
18205 S GRASLE RD, OREGON CITY, OR 97045-7872
(503) 631-4481
(503) 631-4482
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5164
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5164
MASSAGE THERAPIST
OR
Enumeration date
04/16/2007
Last updated
07/08/2007
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